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ICD-10-PCS 2027 procedure code

00PT0KZRemoval of Nonautologous Tissue Substitute from Spinal Meninges, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Nonaut Sub from Spinal Meninges, Open Approach

Code last changed in FY2026 (effective October 1, 2025). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 00PT0KZ

00PT0KZ is the ICD-10-PCS code for a removal procedure on the spinal meninges using an open approach with nonautologous tissue substitute. In ICD-10-PCS, removal means taking out or off a device from a body part.

For a different body part, codes include 00P00KZ (brain), 00P20KZ (dura mater) and 00PV0KZ (spinal cord).

With a different device, use 00PT07Z (autologous tissue substitute) and 00PT0JZ (synthetic substitute).

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 423 (Other Hepatobiliary or Pancreas O.R. Procedures with MCC), DRG 424 (Other Hepatobiliary or Pancreas O.R. Procedures with CC) and DRG 425 (Other Hepatobiliary or Pancreas O.R. Procedures without CC/MCC), under the surgical categories “Spinal Procedures”, “Other Hepatobiliary or Pancreas O.R. Procedures”, “Lymphoma and Leukemia with Major O.R. Procedures” and 3 more.

It was added in FY2026, effective October 1, 2025.

What each character means

1. Section
0Medical and Surgical
2. Body System
0Central Nervous System and Cranial Nerves
3. Operation
PRemoval

Taking out or off a device from a body part

If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL

Includes: Drainage tube removal, cardiac pacemaker removal

4. Body Part
TSpinal Meninges

Includes: Arachnoid mater, spinal; Denticulate (dentate) ligament; Dura mater, spinal; Filum terminale; Leptomeninges, spinal; Pia mater, spinal

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
KNonautologous Tissue Substitute

Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft

7. Qualifier
ZNo Qualifier

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.

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
  • FY2026 (effective 10/1/2025): Added
  • No changes since FY2026.

Common questions about 00PT0KZ

Is 00PT0KZ a valid ICD-10-PCS code for 2027?

Yes. 00PT0KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 00PT0KZ an O.R. procedure?

Yes. 00PT0KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 00PT0KZ group to?

Depending on the principal diagnosis, 00PT0KZ can group to MS-DRG 028, MS-DRG 029, MS-DRG 030, MS-DRG 423, MS-DRG 424 and MS-DRG 425.