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ICD-10-PCS 2027 procedure code

0RS40ZZReposition Cervicothoracic Vertebral Joint, Open Approach

✓ Valid for 2027O.R. procedure

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 0RS40ZZ

0RS40ZZ is the ICD-10-PCS code for a reposition procedure on the cervicothoracic vertebral joint using an open approach. In ICD-10-PCS, reposition means moving to its normal location, or other suitable location, all or a portion of a body part.

In plain terms, this corresponds to open reduction of dislocation of other specified sites, the ICD-9-CM procedure title it maps to (79.89).

For a different body part, codes include 0RS00ZZ (occipital-cervical joint), 0RS10ZZ (cervical vertebral joint), 0RS60ZZ (thoracic vertebral joint), 0RSA0ZZ (thoracolumbar vertebral joint), 0RSC0ZZ (right temporomandibular joint), 0RSD0ZZ (left temporomandibular joint) and 18 more.

The same procedure with a different approach is coded 0RS43ZZ (percutaneous), 0RS44ZZ (percutaneous endoscopic) and 0RS4XZZ (external).

With a different device, use 0RS404Z (internal fixation device).

It is an operating-room procedure in the MS-DRG logic for DRG 515 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC), DRG 516 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC), DRG 517 (Other Musculoskeletal System and Connective Tissue O.R. Procedures without CC/MCC), DRG 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC) and DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), under the surgical categories “Other Musculoskeletal System and Connective Tissue O.R. Procedures”, “Other O.R. Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.

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
SReposition

Moving to its normal location, or other suitable location, all or a portion of a body part

The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning correctly. The body part may or may not be cut out or off to be moved to the new location

Includes: Reposition of undescended testicle, fracture reduction

4. Body Part
4Cervicothoracic Vertebral Joint

Includes: Cervicothoracic facet joint

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
ZNo Device
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 →
  • 79.89Open reduction of dislocation of other specified sitesapproximate

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 0RS40ZZ

Is 0RS40ZZ a valid ICD-10-PCS code for 2027?

Yes. 0RS40ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RS40ZZ an O.R. procedure?

Yes. 0RS40ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RS40ZZ group to?

Depending on the principal diagnosis, 0RS40ZZ can group to MS-DRG 515, MS-DRG 516, MS-DRG 517, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0RS40ZZ?

The CMS GEMs map 0RS40ZZ to ICD-9-CM 79.89 (Open reduction of dislocation of other specified sites).