MS-DRG · FY 2027 v44.0

MS-DRG 518 – Back and Neck Procedures Except Spinal Fusion with MCC or Disc Device or Neurostimulator

A Surgical DRG in MDC 08 (Diseases & Disorders of the Musculoskeletal System & Connective Tissue). Inpatient cases group to DRG 518 when one of the 174 ICD-10-PCS operating-room procedures listed below is reported. Its FY 2027 relative weight is 3.7308 with a geometric mean length of stay of 5.1 days.

Surgical DRG – assigned by operating-room procedure✓ Official CMS v44.0 dataset

3.7308

Relative Weight

5.1

Geometric Mean LOS (days)

7.5

Arithmetic Mean LOS (days)

174

Procedure Codes

How a case is assigned to DRG 518

The grouper first assigns the case to MDC 08 from the principal diagnosis, then matches a qualifying operating-room procedure from the ICD-10-PCS list below (this is a Surgical DRG).

ICD-10-PCS

Procedure Codes 174 codes · 36 categories

174 of 174 shown

00HU Central Nervous System and Cranial Nerves, Insertion3 codes

00HU0MZ Insertion of Neurostimulator Lead into Spinal Canal, Open Approach
00HU3MZ Insertion of Neurostimulator Lead into Spinal Canal, Percutaneous Approach
00HU4MZ Insertion of Neurostimulator Lead into Spinal Canal, Percutaneous Endoscopic Approach

00HV Central Nervous System and Cranial Nerves, Insertion3 codes

00HV0MZ Insertion of Neurostimulator Lead into Spinal Cord, Open Approach
00HV3MZ Insertion of Neurostimulator Lead into Spinal Cord, Percutaneous Approach
00HV4MZ Insertion of Neurostimulator Lead into Spinal Cord, Percutaneous Endoscopic Approach

0JH6 Subcutaneous Tissue and Fascia, Insertion8 codes

0JH60BZ Insertion of Single Array Stimulator Generator into Chest Subcutaneous Tissue and Fascia, Open Approach
0JH60CZ Insertion of Single Array Rechargeable Stimulator Generator into Chest Subcutaneous Tissue and Fascia, Open Approach
0JH60DZ Insertion of Multiple Array Stimulator Generator into Chest Subcutaneous Tissue and Fascia, Open Approach
0JH60EZ Insertion of Multiple Array Rechargeable Stimulator Generator into Chest Subcutaneous Tissue and Fascia, Open Approach
0JH63BZ Insertion of Single Array Stimulator Generator into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach
0JH63CZ Insertion of Single Array Rechargeable Stimulator Generator into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach
0JH63DZ Insertion of Multiple Array Stimulator Generator into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach
0JH63EZ Insertion of Multiple Array Rechargeable Stimulator Generator into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach

0JH7 Subcutaneous Tissue and Fascia, Insertion8 codes

0JH70BZ Insertion of Single Array Stimulator Generator into Back Subcutaneous Tissue and Fascia, Open Approach
0JH70CZ Insertion of Single Array Rechargeable Stimulator Generator into Back Subcutaneous Tissue and Fascia, Open Approach
0JH70DZ Insertion of Multiple Array Stimulator Generator into Back Subcutaneous Tissue and Fascia, Open Approach
0JH70EZ Insertion of Multiple Array Rechargeable Stimulator Generator into Back Subcutaneous Tissue and Fascia, Open Approach
0JH73BZ Insertion of Single Array Stimulator Generator into Back Subcutaneous Tissue and Fascia, Percutaneous Approach
0JH73CZ Insertion of Single Array Rechargeable Stimulator Generator into Back Subcutaneous Tissue and Fascia, Percutaneous Approach
0JH73DZ Insertion of Multiple Array Stimulator Generator into Back Subcutaneous Tissue and Fascia, Percutaneous Approach
0JH73EZ Insertion of Multiple Array Rechargeable Stimulator Generator into Back Subcutaneous Tissue and Fascia, Percutaneous Approach

0JH8 Subcutaneous Tissue and Fascia, Insertion8 codes

0JH80BZ Insertion of Single Array Stimulator Generator into Abdomen Subcutaneous Tissue and Fascia, Open Approach
0JH80CZ Insertion of Single Array Rechargeable Stimulator Generator into Abdomen Subcutaneous Tissue and Fascia, Open Approach
0JH80DZ Insertion of Multiple Array Stimulator Generator into Abdomen Subcutaneous Tissue and Fascia, Open Approach
0JH80EZ Insertion of Multiple Array Rechargeable Stimulator Generator into Abdomen Subcutaneous Tissue and Fascia, Open Approach
0JH83BZ Insertion of Single Array Stimulator Generator into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach
0JH83CZ Insertion of Single Array Rechargeable Stimulator Generator into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach
0JH83DZ Insertion of Multiple Array Stimulator Generator into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach
0JH83EZ Insertion of Multiple Array Rechargeable Stimulator Generator into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach

0RH0 Upper Joints, Insertion9 codes

0RH00BZ Insertion of Interspinous Process Spinal Stabilization Device into Occipital-cervical Joint, Open Approach
0RH00CZ Insertion of Pedicle-Based Spinal Stabilization Device into Occipital-cervical Joint, Open Approach
0RH00DZ Insertion of Facet Replacement Spinal Stabilization Device into Occipital-cervical Joint, Open Approach
0RH03BZ Insertion of Interspinous Process Spinal Stabilization Device into Occipital-cervical Joint, Percutaneous Approach
0RH03CZ Insertion of Pedicle-Based Spinal Stabilization Device into Occipital-cervical Joint, Percutaneous Approach
0RH03DZ Insertion of Facet Replacement Spinal Stabilization Device into Occipital-cervical Joint, Percutaneous Approach
0RH04BZ Insertion of Interspinous Process Spinal Stabilization Device into Occipital-cervical Joint, Percutaneous Endoscopic Approach
0RH04CZ Insertion of Pedicle-Based Spinal Stabilization Device into Occipital-cervical Joint, Percutaneous Endoscopic Approach
0RH04DZ Insertion of Facet Replacement Spinal Stabilization Device into Occipital-cervical Joint, Percutaneous Endoscopic Approach

0RH1 Upper Joints, Insertion9 codes

0RH10BZ Insertion of Interspinous Process Spinal Stabilization Device into Cervical Vertebral Joint, Open Approach
0RH10CZ Insertion of Pedicle-Based Spinal Stabilization Device into Cervical Vertebral Joint, Open Approach
0RH10DZ Insertion of Facet Replacement Spinal Stabilization Device into Cervical Vertebral Joint, Open Approach
0RH13BZ Insertion of Interspinous Process Spinal Stabilization Device into Cervical Vertebral Joint, Percutaneous Approach
0RH13CZ Insertion of Pedicle-Based Spinal Stabilization Device into Cervical Vertebral Joint, Percutaneous Approach
0RH13DZ Insertion of Facet Replacement Spinal Stabilization Device into Cervical Vertebral Joint, Percutaneous Approach
0RH14BZ Insertion of Interspinous Process Spinal Stabilization Device into Cervical Vertebral Joint, Percutaneous Endoscopic Approach
0RH14CZ Insertion of Pedicle-Based Spinal Stabilization Device into Cervical Vertebral Joint, Percutaneous Endoscopic Approach
0RH14DZ Insertion of Facet Replacement Spinal Stabilization Device into Cervical Vertebral Joint, Percutaneous Endoscopic Approach

0RH4 Upper Joints, Insertion9 codes

0RH40BZ Insertion of Interspinous Process Spinal Stabilization Device into Cervicothoracic Vertebral Joint, Open Approach
0RH40CZ Insertion of Pedicle-Based Spinal Stabilization Device into Cervicothoracic Vertebral Joint, Open Approach
0RH40DZ Insertion of Facet Replacement Spinal Stabilization Device into Cervicothoracic Vertebral Joint, Open Approach
0RH43BZ Insertion of Interspinous Process Spinal Stabilization Device into Cervicothoracic Vertebral Joint, Percutaneous Approach
0RH43CZ Insertion of Pedicle-Based Spinal Stabilization Device into Cervicothoracic Vertebral Joint, Percutaneous Approach
0RH43DZ Insertion of Facet Replacement Spinal Stabilization Device into Cervicothoracic Vertebral Joint, Percutaneous Approach
0RH44BZ Insertion of Interspinous Process Spinal Stabilization Device into Cervicothoracic Vertebral Joint, Percutaneous Endoscopic Approach
0RH44CZ Insertion of Pedicle-Based Spinal Stabilization Device into Cervicothoracic Vertebral Joint, Percutaneous Endoscopic Approach
0RH44DZ Insertion of Facet Replacement Spinal Stabilization Device into Cervicothoracic Vertebral Joint, Percutaneous Endoscopic Approach

0RH6 Upper Joints, Insertion9 codes

0RH60BZ Insertion of Interspinous Process Spinal Stabilization Device into Thoracic Vertebral Joint, Open Approach
0RH60CZ Insertion of Pedicle-Based Spinal Stabilization Device into Thoracic Vertebral Joint, Open Approach
0RH60DZ Insertion of Facet Replacement Spinal Stabilization Device into Thoracic Vertebral Joint, Open Approach
0RH63BZ Insertion of Interspinous Process Spinal Stabilization Device into Thoracic Vertebral Joint, Percutaneous Approach
0RH63CZ Insertion of Pedicle-Based Spinal Stabilization Device into Thoracic Vertebral Joint, Percutaneous Approach
0RH63DZ Insertion of Facet Replacement Spinal Stabilization Device into Thoracic Vertebral Joint, Percutaneous Approach
0RH64BZ Insertion of Interspinous Process Spinal Stabilization Device into Thoracic Vertebral Joint, Percutaneous Endoscopic Approach
0RH64CZ Insertion of Pedicle-Based Spinal Stabilization Device into Thoracic Vertebral Joint, Percutaneous Endoscopic Approach
0RH64DZ Insertion of Facet Replacement Spinal Stabilization Device into Thoracic Vertebral Joint, Percutaneous Endoscopic Approach

0RHA Upper Joints, Insertion9 codes

0RHA0BZ Insertion of Interspinous Process Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Open Approach
0RHA0CZ Insertion of Pedicle-Based Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Open Approach
0RHA0DZ Insertion of Facet Replacement Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Open Approach
0RHA3BZ Insertion of Interspinous Process Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Percutaneous Approach
0RHA3CZ Insertion of Pedicle-Based Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Percutaneous Approach
0RHA3DZ Insertion of Facet Replacement Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Percutaneous Approach
0RHA4BZ Insertion of Interspinous Process Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Percutaneous Endoscopic Approach
0RHA4CZ Insertion of Pedicle-Based Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Percutaneous Endoscopic Approach
0RHA4DZ Insertion of Facet Replacement Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Percutaneous Endoscopic Approach

0RR3 Upper Joints, Replacement1 code

0RR30JZ Replacement of Cervical Vertebral Disc with Synthetic Substitute, Open Approach

0RR5 Upper Joints, Replacement1 code

0RR50JZ Replacement of Cervicothoracic Vertebral Disc with Synthetic Substitute, Open Approach

0RU0 Upper Joints, Supplement3 codes

0RU00JZ Supplement Occipital-cervical Joint with Synthetic Substitute, Open Approach
0RU03JZ Supplement Occipital-cervical Joint with Synthetic Substitute, Percutaneous Approach
0RU04JZ Supplement Occipital-cervical Joint with Synthetic Substitute, Percutaneous Endoscopic Approach

0RU1 Upper Joints, Supplement3 codes

0RU10JZ Supplement Cervical Vertebral Joint with Synthetic Substitute, Open Approach
0RU13JZ Supplement Cervical Vertebral Joint with Synthetic Substitute, Percutaneous Approach
0RU14JZ Supplement Cervical Vertebral Joint with Synthetic Substitute, Percutaneous Endoscopic Approach

0RU4 Upper Joints, Supplement3 codes

0RU40JZ Supplement Cervicothoracic Vertebral Joint with Synthetic Substitute, Open Approach
0RU43JZ Supplement Cervicothoracic Vertebral Joint with Synthetic Substitute, Percutaneous Approach
0RU44JZ Supplement Cervicothoracic Vertebral Joint with Synthetic Substitute, Percutaneous Endoscopic Approach

0RU5 Upper Joints, Supplement3 codes

0RU50JZ Supplement Cervicothoracic Vertebral Disc with Synthetic Substitute, Open Approach
0RU53JZ Supplement Cervicothoracic Vertebral Disc with Synthetic Substitute, Percutaneous Approach
0RU54JZ Supplement Cervicothoracic Vertebral Disc with Synthetic Substitute, Percutaneous Endoscopic Approach

0RU6 Upper Joints, Supplement3 codes

0RU60JZ Supplement Thoracic Vertebral Joint with Synthetic Substitute, Open Approach
0RU63JZ Supplement Thoracic Vertebral Joint with Synthetic Substitute, Percutaneous Approach
0RU64JZ Supplement Thoracic Vertebral Joint with Synthetic Substitute, Percutaneous Endoscopic Approach

0RUA Upper Joints, Supplement3 codes

0RUA0JZ Supplement Thoracolumbar Vertebral Joint with Synthetic Substitute, Open Approach
0RUA3JZ Supplement Thoracolumbar Vertebral Joint with Synthetic Substitute, Percutaneous Approach
0RUA4JZ Supplement Thoracolumbar Vertebral Joint with Synthetic Substitute, Percutaneous Endoscopic Approach

0SH0 Lower Joints, Insertion9 codes

0SH00BZ Insertion of Interspinous Process Spinal Stabilization Device into Lumbar Vertebral Joint, Open Approach
0SH00CZ Insertion of Pedicle-Based Spinal Stabilization Device into Lumbar Vertebral Joint, Open Approach
0SH00DZ Insertion of Facet Replacement Spinal Stabilization Device into Lumbar Vertebral Joint, Open Approach
0SH03BZ Insertion of Interspinous Process Spinal Stabilization Device into Lumbar Vertebral Joint, Percutaneous Approach
0SH03CZ Insertion of Pedicle-Based Spinal Stabilization Device into Lumbar Vertebral Joint, Percutaneous Approach
0SH03DZ Insertion of Facet Replacement Spinal Stabilization Device into Lumbar Vertebral Joint, Percutaneous Approach
0SH04BZ Insertion of Interspinous Process Spinal Stabilization Device into Lumbar Vertebral Joint, Percutaneous Endoscopic Approach
0SH04CZ Insertion of Pedicle-Based Spinal Stabilization Device into Lumbar Vertebral Joint, Percutaneous Endoscopic Approach
0SH04DZ Insertion of Facet Replacement Spinal Stabilization Device into Lumbar Vertebral Joint, Percutaneous Endoscopic Approach

0SH3 Lower Joints, Insertion9 codes

0SH30BZ Insertion of Interspinous Process Spinal Stabilization Device into Lumbosacral Joint, Open Approach
0SH30CZ Insertion of Pedicle-Based Spinal Stabilization Device into Lumbosacral Joint, Open Approach
0SH30DZ Insertion of Facet Replacement Spinal Stabilization Device into Lumbosacral Joint, Open Approach
0SH33BZ Insertion of Interspinous Process Spinal Stabilization Device into Lumbosacral Joint, Percutaneous Approach
0SH33CZ Insertion of Pedicle-Based Spinal Stabilization Device into Lumbosacral Joint, Percutaneous Approach
0SH33DZ Insertion of Facet Replacement Spinal Stabilization Device into Lumbosacral Joint, Percutaneous Approach
0SH34BZ Insertion of Interspinous Process Spinal Stabilization Device into Lumbosacral Joint, Percutaneous Endoscopic Approach
0SH34CZ Insertion of Pedicle-Based Spinal Stabilization Device into Lumbosacral Joint, Percutaneous Endoscopic Approach
0SH34DZ Insertion of Facet Replacement Spinal Stabilization Device into Lumbosacral Joint, Percutaneous Endoscopic Approach

0SR2 Lower Joints, Replacement1 code

0SR20JZ Replacement of Lumbar Vertebral Disc with Synthetic Substitute, Open Approach

0SR4 Lower Joints, Replacement1 code

0SR40JZ Replacement of Lumbosacral Disc with Synthetic Substitute, Open Approach

0SU0 Lower Joints, Supplement3 codes

0SU00JZ Supplement Lumbar Vertebral Joint with Synthetic Substitute, Open Approach
0SU03JZ Supplement Lumbar Vertebral Joint with Synthetic Substitute, Percutaneous Approach
0SU04JZ Supplement Lumbar Vertebral Joint with Synthetic Substitute, Percutaneous Endoscopic Approach

0SU3 Lower Joints, Supplement3 codes

0SU30JZ Supplement Lumbosacral Joint with Synthetic Substitute, Open Approach
0SU33JZ Supplement Lumbosacral Joint with Synthetic Substitute, Percutaneous Approach
0SU34JZ Supplement Lumbosacral Joint with Synthetic Substitute, Percutaneous Endoscopic Approach

0SU5 Lower Joints, Supplement3 codes

0SU50JZ Supplement Sacrococcygeal Joint with Synthetic Substitute, Open Approach
0SU53JZ Supplement Sacrococcygeal Joint with Synthetic Substitute, Percutaneous Approach
0SU54JZ Supplement Sacrococcygeal Joint with Synthetic Substitute, Percutaneous Endoscopic Approach

0SU6 Lower Joints, Supplement3 codes

0SU60JZ Supplement Coccygeal Joint with Synthetic Substitute, Open Approach
0SU63JZ Supplement Coccygeal Joint with Synthetic Substitute, Percutaneous Approach
0SU64JZ Supplement Coccygeal Joint with Synthetic Substitute, Percutaneous Endoscopic Approach

XRH1 New Technology, Joints, Insertion6 codes

XRH10GB Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into Cervical Vertebral Joint, Open Approach, New Technology Group 11
XRH10NC Insertion of Carbon/PEEK Spinal Stabilization Device into Cervical Vertebral Joint, Open Approach, New Technology Group 12
XRH13GB Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into Cervical Vertebral Joint, Percutaneous Approach, New Technology Group 11
XRH13NC Insertion of Carbon/PEEK Spinal Stabilization Device into Cervical Vertebral Joint, Percutaneous Approach, New Technology Group 12
XRH14GB Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into Cervical Vertebral Joint, Percutaneous Endoscopic Approach, New Technology Group 11
XRH14NC Insertion of Carbon/PEEK Spinal Stabilization Device into Cervical Vertebral Joint, Percutaneous Endoscopic Approach, New Technology Group 12

XRH2 New Technology, Joints, Insertion6 codes

XRH20GB Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into 2 or more Cervical Vertebral Joints, Open Approach, New Technology Group 11
XRH20NC Insertion of Carbon/PEEK Spinal Stabilization Device into 2 or more Cervical Vertebral Joints, Open Approach, New Technology Group 12
XRH23GB Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into 2 or more Cervical Vertebral Joints, Percutaneous Approach, New Technology Group 11
XRH23NC Insertion of Carbon/PEEK Spinal Stabilization Device into 2 or more Cervical Vertebral Joints, Percutaneous Approach, New Technology Group 12
XRH24GB Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into 2 or more Cervical Vertebral Joints, Percutaneous Endoscopic Approach, New Technology Group 11
XRH24NC Insertion of Carbon/PEEK Spinal Stabilization Device into 2 or more Cervical Vertebral Joints, Percutaneous Endoscopic Approach, New Technology Group 12

XRH4 New Technology, Joints, Insertion6 codes

XRH40GB Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into Cervicothoracic Vertebral Joint, Open Approach, New Technology Group 11
XRH40NC Insertion of Carbon/PEEK Spinal Stabilization Device into Cervicothoracic Vertebral Joint, Open Approach, New Technology Group 12
XRH43GB Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into Cervicothoracic Vertebral Joint, Percutaneous Approach, New Technology Group 11
XRH43NC Insertion of Carbon/PEEK Spinal Stabilization Device into Cervicothoracic Vertebral Joint, Percutaneous Approach, New Technology Group 12
XRH44GB Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into Cervicothoracic Vertebral Joint, Percutaneous Endoscopic Approach, New Technology Group 11
XRH44NC Insertion of Carbon/PEEK Spinal Stabilization Device into Cervicothoracic Vertebral Joint, Percutaneous Endoscopic Approach, New Technology Group 12

XRH6 New Technology, Joints, Insertion9 codes

XRH60FA Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Thoracic Vertebral Joint, Open Approach, New Technology Group 10
XRH60GB Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into Thoracic Vertebral Joint, Open Approach, New Technology Group 11
XRH60NC Insertion of Carbon/PEEK Spinal Stabilization Device into Thoracic Vertebral Joint, Open Approach, New Technology Group 12
XRH63FA Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Thoracic Vertebral Joint, Percutaneous Approach, New Technology Group 10
XRH63GB Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into Thoracic Vertebral Joint, Percutaneous Approach, New Technology Group 11
XRH63NC Insertion of Carbon/PEEK Spinal Stabilization Device into Thoracic Vertebral Joint, Percutaneous Approach, New Technology Group 12
XRH64FA Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Thoracic Vertebral Joint, Percutaneous Endoscopic Approach, New Technology Group 10
XRH64GB Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into Thoracic Vertebral Joint, Percutaneous Endoscopic Approach, New Technology Group 11
XRH64NC Insertion of Carbon/PEEK Spinal Stabilization Device into Thoracic Vertebral Joint, Percutaneous Endoscopic Approach, New Technology Group 12

XRH7 New Technology, Joints, Insertion3 codes

XRH70FA Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into 2 to 7 Thoracic Vertebral Joints, Open Approach, New Technology Group 10
XRH73FA Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into 2 to 7 Thoracic Vertebral Joints, Percutaneous Approach, New Technology Group 10
XRH74FA Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into 2 to 7 Thoracic Vertebral Joints, Percutaneous Endoscopic Approach, New Technology Group 10

XRH8 New Technology, Joints, Insertion3 codes

XRH80FA Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into 8 or more Thoracic Vertebral Joints, Open Approach, New Technology Group 10
XRH83FA Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into 8 or more Thoracic Vertebral Joints, Percutaneous Approach, New Technology Group 10
XRH84FA Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into 8 or more Thoracic Vertebral Joints, Percutaneous Endoscopic Approach, New Technology Group 10

XRHA New Technology, Joints, Insertion3 codes

XRHA0FA Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Open Approach, New Technology Group 10
XRHA3FA Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Percutaneous Approach, New Technology Group 10
XRHA4FA Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Percutaneous Endoscopic Approach, New Technology Group 10

XRHB New Technology, Joints, Insertion4 codes

XRHB018 Insertion of Posterior Spinal Motion Preservation Device into Lumbar Vertebral Joint, Open Approach, New Technology Group 8
XRHB0FA Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Lumbar Vertebral Joint, Open Approach, New Technology Group 10
XRHB3FA Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Lumbar Vertebral Joint, Percutaneous Approach, New Technology Group 10
XRHB4FA Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Lumbar Vertebral Joint, Percutaneous Endoscopic Approach, New Technology Group 10

XRHC New Technology, Joints, Insertion3 codes

XRHC0FA Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into 2 or more Lumbar Vertebral Joints, Open Approach, New Technology Group 10
XRHC3FA Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into 2 or more Lumbar Vertebral Joints, Percutaneous Approach, New Technology Group 10
XRHC4FA Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into 2 or more Lumbar Vertebral Joints, Percutaneous Endoscopic Approach, New Technology Group 10

XRHD New Technology, Joints, Insertion4 codes

XRHD018 Insertion of Posterior Spinal Motion Preservation Device into Lumbosacral Joint, Open Approach, New Technology Group 8
XRHD0FA Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Lumbosacral Joint, Open Approach, New Technology Group 10
XRHD3FA Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Lumbosacral Joint, Percutaneous Approach, New Technology Group 10
XRHD4FA Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Lumbosacral Joint, Percutaneous Endoscopic Approach, New Technology Group 10

ICD-10-CM

Qualifying Diagnosis Codes

Diagnosis codes do not drive assignment for this DRG. Cases group here from the ICD-10-PCS procedure list below.

Frequently Asked Questions

What is MS-DRG 518?

MS-DRG 518 (Back and Neck Procedures Except Spinal Fusion with MCC or Disc Device or Neurostimulator) is a surgical DRG in MDC 08 (Diseases & Disorders of the Musculoskeletal System & Connective Tissue). Its FY 2027 relative weight is 3.7308 with a geometric mean length of stay of 5.1 days.

How many procedure codes group to DRG 518?

174 ICD-10-PCS operating-room procedure codes group to this DRG.

What is the relative weight of DRG 518?

The FY 2027 relative weight of this DRG is 3.7308, meaning reimbursement of roughly 3.73 times the average Medicare inpatient case. Multiply by a hospital's blended base rate for the approximate payment.

← PreviousDRG 517 – Other Musculoskeletal System and Connective Tissue O.R Next →DRG 519 – Back and Neck Procedures Except Spinal Fusion with CC

Source: CMS ICD-10 MS-DRG v44.0 Definitions Manual and the FY 2027 IPPS Final Rule (Table 5), effective October 1, 2026 through September 30, 2027. We publish the DRG assignments as CMS defines them and add the navigation, search, and code links.