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ICD-10-PCS 2027 procedure code

00PV0JZRemoval of Synthetic Substitute from Spinal Cord, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Synth Sub from Spinal Cord, Open Approach

Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 00PV0JZ

00PV0JZ is the ICD-10-PCS code for a removal procedure on the spinal cord using an open approach with synthetic substitute. In ICD-10-PCS, removal means taking out or off a device from a body part.

In plain terms, this corresponds to other chordotomy, the ICD-9-CM procedure title it maps to (03.29).

For a different body part, codes include 00P00JZ (brain), 00P20JZ (dura mater), 00P60JZ (cerebral ventricle), 00PT0JZ (spinal meninges) and 00PU0JZ (spinal canal).

The same procedure with a different approach is coded 00PV3JZ (percutaneous) and 00PV4JZ (percutaneous endoscopic).

With a different device, use 00PV00Z (drainage device), 00PV02Z (monitoring device), 00PV03Z (infusion device), 00PV07Z (autologous tissue substitute), 00PV0KZ (nonautologous tissue substitute), 00PV0MZ (neurostimulator lead) and 1 more.

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 has been valid since ICD-10-PCS took effect on October 1, 2015.

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
VSpinal Cord

Includes: Dorsal root ganglion

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
JSynthetic Substitute

Includes: AbioCor(R) Total Replacement Heart; AMPLATZER(R) Muscular VSD Occluder; Annuloplasty ring; Bard(R) Composix(R) (E/X)(LP) mesh; Bard(R) Composix(R) Kugel(R) patch; Bard(R) Dulex(tm) mesh; Bard(R) Ventralex(tm) hernia patch; Barricaid(R) Annular Closure Device (ACD); BRYAN(R) Cervical Disc System; Corvia IASD(R); Ex-PRESS(tm) mini glaucoma shunt; Flexible Composite Mesh; GORE(R) ACUSEAL Vascular Graft; GORE(R) CARDIOFORM Septal Occluder; GORE(R) DUALMESH(R); GORE(R) PROPATEN(R) Vascular Graft; GORE(R) VIATORR(R) TIPS Endoprosthesis; Holter valve ventricular shunt; IASD(R) (InterAtrial Shunt Device), Corvia; InterAtrial Shunt Device IASD(R), Corvia; LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System; MitraClip valve repair system; Nitinol framed polymer mesh; Open Pivot (mechanical) valve; Open Pivot Aortic Valve Graft (AVG); Partially absorbable mesh; PHYSIOMESH(tm) Flexible Composite Mesh; Polymethylmethacrylate (PMMA); Polypropylene mesh; PRESTIGE(R) Cervical Disc; PROCEED(tm) Ventral Patch; Prodisc-C; Prodisc-L; PROLENE Polypropylene Hernia System (PHS); Rebound HRD(R) (Hernia Repair Device); SynCardia Total Artificial Heart; Total artificial (replacement) heart; ULTRAPRO Hernia System (UHS); ULTRAPRO Partially Absorbable Lightweight Mesh; ULTRAPRO Plug; V-Wave Interatrial Shunt System; Ventrio(tm) Hernia Patch; Zimmer(R) NexGen(R) LPS Mobile Bearing Knee; Zimmer(R) NexGen(R) LPS-Flex Mobile Knee

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.

ICD-9-CM equivalent

Converter →
  • 03.29Other chordotomyapproximate

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
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 00PV0JZ

Is 00PV0JZ a valid ICD-10-PCS code for 2027?

Yes. 00PV0JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 00PV0JZ an O.R. procedure?

Yes. 00PV0JZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 00PV0JZ group to?

Depending on the principal diagnosis, 00PV0JZ can group to MS-DRG 028, MS-DRG 029, MS-DRG 030, MS-DRG 423, MS-DRG 424 and MS-DRG 425.

What is the ICD-9 procedure code for 00PV0JZ?

The CMS GEMs map 00PV0JZ to ICD-9-CM 03.29 (Other chordotomy).