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ICD-10-PCS 2027 procedure code

XRHC4FAInsertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into 2 or more Lumbar Vertebral Joints, Percutaneous Endoscopic Approach, New Technology Group 10

✓ Valid for 2027O.R. procedure

Short description: Insert Pdcl Ca/PK Stblz in 2-4 L Jt, Perc Endo, New Tech 10

Code last changed in FY2025 (effective October 1, 2024). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About XRHC4FA

XRHC4FA is the ICD-10-PCS code for a insertion procedure on the lumbar vertebral joints, 2 or more using a percutaneous endoscopic approach with carbon/peek spinal stabilization device, pedicle based (qualifier: new technology group 10). 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 XRH64FA (thoracic vertebral joint), XRH74FA (thoracic vertebral joints, 2 to 7), XRH84FA (thoracic vertebral joints, 8 or more), XRHA4FA (thoracolumbar vertebral joint), XRHB4FA (lumbar vertebral joint) and XRHD4FA (lumbosacral joint).

The same procedure with a different approach is coded XRHC0FA (open) and XRHC3FA (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 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 FY2025, effective October 1, 2024.

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
CLumbar Vertebral Joints, 2 or more
5. Approach
4Percutaneous Endoscopic

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

6. Device / Substance / Technology
FCarbon/PEEK Spinal Stabilization Device, Pedicle Based
7. Qualifier
ANew Technology Group 10

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
  • FY2025 (effective 10/1/2024): Added
  • No changes since FY2025.

Common questions about XRHC4FA

Is XRHC4FA a valid ICD-10-PCS code for 2027?

Yes. XRHC4FA is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is XRHC4FA an O.R. procedure?

Yes. XRHC4FA is an O.R. procedure in MS-DRG v44.0.

What DRG does XRHC4FA group to?

Depending on the principal diagnosis, XRHC4FA can group to MS-DRG 028, MS-DRG 029, MS-DRG 030, MS-DRG 518, MS-DRG 907 and MS-DRG 908.