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ICD-10-PCS 2027 procedure code

00PU0YZRemoval of Other Device from Spinal Canal, Open Approach

✓ Valid for 2027O.R. procedure

Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 00PU0YZ

00PU0YZ is the ICD-10-PCS code for a removal procedure on the spinal canal using an open approach with other device. In ICD-10-PCS, removal means taking out or off a device from a body part.

In plain terms, this corresponds to other operations on spinal cord and spinal canal structures, the ICD-9-CM procedure title it maps to (03.99).

For a different body part, codes include 00P00YZ (brain), 00P60YZ (cerebral ventricle), 00PE0YZ (cranial nerve) and 00PV0YZ (spinal cord).

The same procedure with a different approach is coded 00PU3YZ (percutaneous) and 00PU4YZ (percutaneous endoscopic).

With a different device, use 00PU00Z (drainage device), 00PU02Z (monitoring device), 00PU03Z (infusion device), 00PU0JZ (synthetic substitute) and 00PU0MZ (neurostimulator lead).

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 FY2018, effective October 1, 2017.

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
USpinal Canal

Includes: Epidural space, spinal; Extradural space, spinal; Subarachnoid space, spinal; Subdural space, spinal; Vertebral canal

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
YOther Device

Includes: Alfapump(R) system

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.

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

ICD-9-CM equivalent

Converter →
  • 03.99Other operations on spinal cord and spinal canal structuresapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

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
  • FY2018 (effective 10/1/2017): Added
  • No changes since FY2018.

Common questions about 00PU0YZ

Is 00PU0YZ a valid ICD-10-PCS code for 2027?

Yes. 00PU0YZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 00PU0YZ an O.R. procedure?

Yes. 00PU0YZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 00PU0YZ group to?

Depending on the principal diagnosis, 00PU0YZ can group to MS-DRG 028, MS-DRG 029, MS-DRG 030, MS-DRG 518, MS-DRG 519 and MS-DRG 520.

What is the ICD-9 procedure code for 00PU0YZ?

The CMS GEMs map 00PU0YZ to ICD-9-CM 03.99 (Other operations on spinal cord and spinal canal structures).