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ICD-10-PCS 2027 procedure code

XRH20NCInsertion of Carbon/PEEK Spinal Stabilization Device into 2 or more Cervical Vertebral Joints, Open Approach, New Technology Group 12

✓ Valid for 2027New for 2027O.R. procedure

Short description: Insert Carb/PK Stblz Dev in 2-6 C Jt, Open, New Tech 12

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

About XRH20NC

XRH20NC is the ICD-10-PCS code for a insertion procedure on the cervical vertebral joints, 2 or more using an open approach with carbon/peek spinal stabilization device (qualifier: new technology group 12). In ICD-10-PCS, insertion means putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part.

For a different body part, codes include XRH10NC (cervical vertebral joint), XRH40NC (cervicothoracic vertebral joint) and XRH60NC (thoracic vertebral joint).

The same procedure with a different approach is coded XRH23NC (percutaneous) and XRH24NC (percutaneous endoscopic).

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 907 (Other O.R. Procedures for Injuries with MCC) and DRG 908 (Other O.R. Procedures for Injuries with CC), under the surgical categories “Spinal Procedures”, “Back and Neck Procedures Except Spinal Fusion or Disc Device or Neurostimulator”, “Other O.R. Procedures for Injuries” and 1 more.

It was added in FY2027, effective October 1, 2026.

What each character means

1. Section
XNew Technology
2. Body System
RJoints
3. Operation
HInsertion

Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part

4. Body Part
2Cervical Vertebral Joints, 2 or more
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
NCarbon/PEEK Spinal Stabilization Device
7. Qualifier
CNew Technology Group 12

Other versions of this procedure

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
  • FY2027 (effective 10/1/2026): Added

Common questions about XRH20NC

Is XRH20NC a valid ICD-10-PCS code for 2027?

Yes. XRH20NC is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is XRH20NC an O.R. procedure?

Yes. XRH20NC is an O.R. procedure in MS-DRG v44.0.

What DRG does XRH20NC group to?

Depending on the principal diagnosis, XRH20NC can group to MS-DRG 028, MS-DRG 029, MS-DRG 030, MS-DRG 518, MS-DRG 907 and MS-DRG 908.