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ICD-10-PCS 2027 procedure code

XRH40GBInsertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into Cervicothoracic Vertebral Joint, Open Approach, New Technology Group 11

✓ Valid for 2027O.R. procedure

Short description: Insert Pedcl MoRe Stblz in C-thr Jt, Open, New Tech 11

Code last changed in FY2026 (effective October 1, 2025). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About XRH40GB

XRH40GB is the ICD-10-PCS code for a insertion procedure on the cervicothoracic vertebral joint using an open approach with molybdenum rhenium alloy spinal stabilization device (qualifier: new technology group 11). In ICD-10-PCS, insertion means putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part.

For a different body part, codes include XRH10GB (cervical vertebral joint), XRH20GB (cervical vertebral joints, 2 or more) and XRH60GB (thoracic vertebral joint).

The same procedure with a different approach is coded XRH43GB (percutaneous) and XRH44GB (percutaneous endoscopic).

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 907 (Other O.R. Procedures for Injuries with MCC) and DRG 908 (Other O.R. Procedures for Injuries with CC), 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 was added in FY2026, effective October 1, 2025.

What each character means

1. Section
XNew Technology
2. Body System
RJoints
3. Operation
HInsertion

Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part

4. Body Part
4Cervicothoracic Vertebral 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 / Substance / Technology
GMolybdenum Rhenium Alloy Spinal Stabilization Device
7. Qualifier
BNew Technology Group 11

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

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
  • FY2026 (effective 10/1/2025): Added
  • No changes since FY2026.

Common questions about XRH40GB

Is XRH40GB a valid ICD-10-PCS code for 2027?

Yes. XRH40GB is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is XRH40GB an O.R. procedure?

Yes. XRH40GB is an O.R. procedure in MS-DRG v44.0.

What DRG does XRH40GB group to?

Depending on the principal diagnosis, XRH40GB can group to MS-DRG 028, MS-DRG 029, MS-DRG 030, MS-DRG 518, MS-DRG 907 and MS-DRG 908.