ICD-10-PCS 2027 procedure code
0RUA3KZSupplement Thoracolumbar Vertebral Joint with Nonautologous Tissue Substitute, Percutaneous Approach
Short description: Supplement T-lum Jt with Nonaut Sub, Perc 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 0RUA3KZ
0RUA3KZ is the ICD-10-PCS code for a supplement procedure on the thoracolumbar vertebral joint using a percutaneous approach with nonautologous tissue substitute. In ICD-10-PCS, supplement means putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part.
In plain terms, this corresponds to other repair of joint, the ICD-9-CM procedure title it maps to (81.96).
For a different body part, codes include 0RU03KZ (occipital-cervical joint), 0RU13KZ (cervical vertebral joint), 0RU33KZ (cervical vertebral disc), 0RU43KZ (cervicothoracic vertebral joint), 0RU53KZ (cervicothoracic vertebral disc), 0RU63KZ (thoracic vertebral joint) and 22 more.
The same procedure with a different approach is coded 0RUA0KZ (open) and 0RUA4KZ (percutaneous endoscopic).
With a different device, use 0RUA37Z (autologous tissue substitute) and 0RUA3JZ (synthetic substitute).
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) and DRG 517 (Other Musculoskeletal System and Connective Tissue O.R. Procedures without CC/MCC), under the surgical category “Other Musculoskeletal System and Connective Tissue O.R. Procedures”.
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
- USupplement
Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part
The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced, and the Supplement procedure is performed to physically reinforce and/or augment the function of the replaced body part
Includes: Herniorrhaphy using mesh, mitral valve ring annuloplasty, put a new acetabular liner in a previous hip replacement
- 4. Body Part
- AThoracolumbar Vertebral Joint
Includes: Thoracolumbar facet joint
- 5. Approach
- 3Percutaneous
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach 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
Different body part
- 0RU03KZOccipital-cervical Joint
- 0RU13KZCervical Vertebral Joint
- 0RU33KZCervical Vertebral Disc
- 0RU43KZCervicothoracic Vertebral Joint
- 0RU53KZCervicothoracic Vertebral Disc
- 0RU63KZThoracic Vertebral Joint
- 0RU93KZThoracic Vertebral Disc
- 0RUB3KZThoracolumbar Vertebral Disc
- 0RUC3KZTemporomandibular Joint, Right
- 0RUD3KZTemporomandibular Joint, Left
- 0RUE3KZSternoclavicular Joint, Right
- 0RUF3KZSternoclavicular Joint, Left
Different approach
Different device
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 · Other Musculoskeletal System and Connective Tissue O.R. Procedures
ICD-9-CM equivalent
Converter →- 81.96Other repair of jointapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 0RUA3KZ
Is 0RUA3KZ a valid ICD-10-PCS code for 2027?
- Yes. 0RUA3KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RUA3KZ an O.R. procedure?
- Yes. 0RUA3KZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RUA3KZ group to?
- Depending on the principal diagnosis, 0RUA3KZ can group to MS-DRG 515, MS-DRG 516 and MS-DRG 517.
What is the ICD-9 procedure code for 0RUA3KZ?
- The CMS GEMs map 0RUA3KZ to ICD-9-CM 81.96 (Other repair of joint).