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ICD-10-PCS 2027 procedure code

XNS40C7Reposition of Thoracic Vertebra using Posterior (Dynamic) Distraction Device, Open Approach, New Technology Group 7

✓ Valid for 2027O.R. procedure

Short description: Reposition Thor Vert w Post (Dyn) Dis Dev, Open, New Tech 7

Code last changed in FY2022 (effective October 1, 2021). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About XNS40C7

XNS40C7 is the ICD-10-PCS code for a reposition procedure on the thoracic vertebra using an open approach with posterior (dynamic) distraction device (qualifier: new technology group 7). In ICD-10-PCS, reposition means moving to its normal location, or other suitable location, all or a portion of a body part.

For a different body part, codes include XNS00C7 (lumbar vertebra).

The same procedure with a different approach is coded XNS43C7 (percutaneous).

It is an operating-room procedure in the MS-DRG logic for DRG 028 (Spinal Procedures with MCC), DRG 029 (Spinal Procedures with CC or Spinal Neurostimulators), DRG 030 (Spinal Procedures without CC/MCC), DRG 518 (Back and Neck Procedures Except Spinal Fusion with MCC or Disc Device or Neurostimulator), DRG 519 (Back and Neck Procedures Except Spinal Fusion with CC) and DRG 520 (Back and Neck Procedures Except Spinal Fusion without CC/MCC), under the surgical categories “Spinal Procedures”, “Back and Neck Procedures Except Spinal Fusion or Disc Device or Neurostimulator”, “Lymphoma and Leukemia with Major O.R. Procedures” and 3 more.

It was added in FY2022, effective October 1, 2021.

What each character means

1. Section
XNew Technology
2. Body System
NBones
3. Operation
SReposition

Moving to its normal location, or other suitable location, all or a portion of a body part

The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning correctly. The body part may or may not be cut out or off to be moved to the new location

Includes: Reposition of undescended testicle, fracture reduction

4. Body Part
4Thoracic Vertebra
5. Approach
0Open

Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

6. Device / Substance / Technology
CPosterior (Dynamic) Distraction Device
7. Qualifier
7New Technology Group 7

Other versions of this procedure

Different body part

Different approach

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Back and Neck Procedures Except Spinal Fusion or Disc Device or Neurostimulator

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2022 (effective 10/1/2021): Added
  • No changes since FY2022.

Common questions about XNS40C7

Is XNS40C7 a valid ICD-10-PCS code for 2027?

Yes. XNS40C7 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is XNS40C7 an O.R. procedure?

Yes. XNS40C7 is an O.R. procedure in MS-DRG v44.0.

What DRG does XNS40C7 group to?

Depending on the principal diagnosis, XNS40C7 can group to MS-DRG 028, MS-DRG 029, MS-DRG 030, MS-DRG 518, MS-DRG 519 and MS-DRG 520.