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ICD-10-PCS 2027 procedure code

0RBB4ZZExcision of Thoracolumbar Vertebral Disc, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Excision of Thoracolumbar Vertebral Disc, Perc Endo 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 0RBB4ZZ

0RBB4ZZ is the ICD-10-PCS code for a excision procedure on the thoracolumbar vertebral disc using a percutaneous endoscopic approach. In ICD-10-PCS, excision means cutting out or off, without replacement, a portion of a body part.

In plain terms, this corresponds to excision of intervertebral disc, the ICD-9-CM procedure title it maps to (80.51).

For a different body part, codes include 0RB04ZZ (occipital-cervical joint), 0RB14ZZ (cervical vertebral joint), 0RB34ZZ (cervical vertebral disc), 0RB44ZZ (cervicothoracic vertebral joint), 0RB54ZZ (cervicothoracic vertebral disc), 0RB64ZZ (thoracic vertebral joint) and 22 more.

The same procedure with a different approach is coded 0RBB0ZZ (open) and 0RBB3ZZ (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 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”, “Other O.R. Procedures for Injuries” and 1 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
RUpper Joints
3. Operation
BExcision

Cutting out or off, without replacement, a portion of a body part

The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies

Includes: Partial nephrectomy, liver biopsy

4. Body Part
BThoracolumbar Vertebral Disc
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
ZNo Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

Different qualifier

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 →
  • 80.51Excision of intervertebral discapproximate

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 0RBB4ZZ

Is 0RBB4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0RBB4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RBB4ZZ an O.R. procedure?

Yes. 0RBB4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RBB4ZZ group to?

Depending on the principal diagnosis, 0RBB4ZZ 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 0RBB4ZZ?

The CMS GEMs map 0RBB4ZZ to ICD-9-CM 80.51 (Excision of intervertebral disc).