MS-DRG · FY 2026 v43.0

MS-DRG 519 – Back and Neck Procedures Except Spinal Fusion with CC

A Surgical DRG in MDC 08 (Diseases & Disorders of the Musculoskeletal System & Connective Tissue). Inpatient cases group to DRG 519 when one of the 381 ICD-10-PCS operating-room procedures listed below is reported. Its FY 2026 relative weight is 2.0002 with a geometric mean length of stay of 3.2 days.

Surgical DRG – assigned by operating-room procedure✓ Official CMS v43.0 dataset
2.0002
Relative Weight
3.2
Geometric Mean LOS (days)
4.2
Arithmetic Mean LOS (days)
381
Procedure Codes

Severity family

DRG 519with CCWeight 2.0002 · GMLOS 3.2 daysDRG 520without CC/MCCWeight 1.4939 · GMLOS 2.1 days
How a case is assigned to DRG 519

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), then applies the severity split from secondary diagnoses: with CC → 519; without CC/MCC → 520.

ICD-10-PCS

Procedure Codes 381 codes · 99 categories

381 of 381 shown
005T Central Nervous System and Cranial Nerves, Destruction3 codes
  • 005T0ZZ Destruction of Spinal Meninges, Open Approach
  • 005T3ZZ Destruction of Spinal Meninges, Percutaneous Approach
  • 005T4ZZ Destruction of Spinal Meninges, Percutaneous Endoscopic Approach
005W Central Nervous System and Cranial Nerves, Destruction6 codes
  • 005W0Z3 Destruction of Cervical Spinal Cord using Laser Interstitial Thermal Therapy, Open Approach
  • 005W0ZZ Destruction of Cervical Spinal Cord, Open Approach
  • 005W3Z3 Destruction of Cervical Spinal Cord using Laser Interstitial Thermal Therapy, Percutaneous Approach
  • 005W3ZZ Destruction of Cervical Spinal Cord, Percutaneous Approach
  • 005W4Z3 Destruction of Cervical Spinal Cord using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
  • 005W4ZZ Destruction of Cervical Spinal Cord, Percutaneous Endoscopic Approach
005X Central Nervous System and Cranial Nerves, Destruction6 codes
  • 005X0Z3 Destruction of Thoracic Spinal Cord using Laser Interstitial Thermal Therapy, Open Approach
  • 005X0ZZ Destruction of Thoracic Spinal Cord, Open Approach
  • 005X3Z3 Destruction of Thoracic Spinal Cord using Laser Interstitial Thermal Therapy, Percutaneous Approach
  • 005X3ZZ Destruction of Thoracic Spinal Cord, Percutaneous Approach
  • 005X4Z3 Destruction of Thoracic Spinal Cord using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
  • 005X4ZZ Destruction of Thoracic Spinal Cord, Percutaneous Endoscopic Approach
005Y Central Nervous System and Cranial Nerves, Destruction6 codes
  • 005Y0Z3 Destruction of Lumbar Spinal Cord using Laser Interstitial Thermal Therapy, Open Approach
  • 005Y0ZZ Destruction of Lumbar Spinal Cord, Open Approach
  • 005Y3Z3 Destruction of Lumbar Spinal Cord using Laser Interstitial Thermal Therapy, Percutaneous Approach
  • 005Y3ZZ Destruction of Lumbar Spinal Cord, Percutaneous Approach
  • 005Y4Z3 Destruction of Lumbar Spinal Cord using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach
  • 005Y4ZZ Destruction of Lumbar Spinal Cord, Percutaneous Endoscopic Approach
009T Central Nervous System and Cranial Nerves, Drainage6 codes
  • 009T00Z Drainage of Spinal Meninges with Drainage Device, Open Approach
  • 009T0ZX Drainage of Spinal Meninges, Open Approach, Diagnostic
  • 009T0ZZ Drainage of Spinal Meninges, Open Approach
  • 009T40Z Drainage of Spinal Meninges with Drainage Device, Percutaneous Endoscopic Approach
  • 009T4ZX Drainage of Spinal Meninges, Percutaneous Endoscopic Approach, Diagnostic
  • 009T4ZZ Drainage of Spinal Meninges, Percutaneous Endoscopic Approach
009U Central Nervous System and Cranial Nerves, Drainage3 codes
  • 009U00Z Drainage of Spinal Canal with Drainage Device, Open Approach
  • 009U0ZX Drainage of Spinal Canal, Open Approach, Diagnostic
  • 009U0ZZ Drainage of Spinal Canal, Open Approach
009W Central Nervous System and Cranial Nerves, Drainage6 codes
  • 009W00Z Drainage of Cervical Spinal Cord with Drainage Device, Open Approach
  • 009W0ZX Drainage of Cervical Spinal Cord, Open Approach, Diagnostic
  • 009W0ZZ Drainage of Cervical Spinal Cord, Open Approach
  • 009W40Z Drainage of Cervical Spinal Cord with Drainage Device, Percutaneous Endoscopic Approach
  • 009W4ZX Drainage of Cervical Spinal Cord, Percutaneous Endoscopic Approach, Diagnostic
  • 009W4ZZ Drainage of Cervical Spinal Cord, Percutaneous Endoscopic Approach
009X Central Nervous System and Cranial Nerves, Drainage6 codes
  • 009X00Z Drainage of Thoracic Spinal Cord with Drainage Device, Open Approach
  • 009X0ZX Drainage of Thoracic Spinal Cord, Open Approach, Diagnostic
  • 009X0ZZ Drainage of Thoracic Spinal Cord, Open Approach
  • 009X40Z Drainage of Thoracic Spinal Cord with Drainage Device, Percutaneous Endoscopic Approach
  • 009X4ZX Drainage of Thoracic Spinal Cord, Percutaneous Endoscopic Approach, Diagnostic
  • 009X4ZZ Drainage of Thoracic Spinal Cord, Percutaneous Endoscopic Approach
009Y Central Nervous System and Cranial Nerves, Drainage6 codes
  • 009Y00Z Drainage of Lumbar Spinal Cord with Drainage Device, Open Approach
  • 009Y0ZX Drainage of Lumbar Spinal Cord, Open Approach, Diagnostic
  • 009Y0ZZ Drainage of Lumbar Spinal Cord, Open Approach
  • 009Y40Z Drainage of Lumbar Spinal Cord with Drainage Device, Percutaneous Endoscopic Approach
  • 009Y4ZX Drainage of Lumbar Spinal Cord, Percutaneous Endoscopic Approach, Diagnostic
  • 009Y4ZZ Drainage of Lumbar Spinal Cord, Percutaneous Endoscopic Approach
00BT Central Nervous System and Cranial Nerves, Excision6 codes
  • 00BT0ZX Excision of Spinal Meninges, Open Approach, Diagnostic
  • 00BT0ZZ Excision of Spinal Meninges, Open Approach
  • 00BT3ZX Excision of Spinal Meninges, Percutaneous Approach, Diagnostic
  • 00BT3ZZ Excision of Spinal Meninges, Percutaneous Approach
  • 00BT4ZX Excision of Spinal Meninges, Percutaneous Endoscopic Approach, Diagnostic
  • 00BT4ZZ Excision of Spinal Meninges, Percutaneous Endoscopic Approach
00BW Central Nervous System and Cranial Nerves, Excision6 codes
  • 00BW0ZX Excision of Cervical Spinal Cord, Open Approach, Diagnostic
  • 00BW0ZZ Excision of Cervical Spinal Cord, Open Approach
  • 00BW3ZX Excision of Cervical Spinal Cord, Percutaneous Approach, Diagnostic
  • 00BW3ZZ Excision of Cervical Spinal Cord, Percutaneous Approach
  • 00BW4ZX Excision of Cervical Spinal Cord, Percutaneous Endoscopic Approach, Diagnostic
  • 00BW4ZZ Excision of Cervical Spinal Cord, Percutaneous Endoscopic Approach
00BX Central Nervous System and Cranial Nerves, Excision6 codes
  • 00BX0ZX Excision of Thoracic Spinal Cord, Open Approach, Diagnostic
  • 00BX0ZZ Excision of Thoracic Spinal Cord, Open Approach
  • 00BX3ZX Excision of Thoracic Spinal Cord, Percutaneous Approach, Diagnostic
  • 00BX3ZZ Excision of Thoracic Spinal Cord, Percutaneous Approach
  • 00BX4ZX Excision of Thoracic Spinal Cord, Percutaneous Endoscopic Approach, Diagnostic
  • 00BX4ZZ Excision of Thoracic Spinal Cord, Percutaneous Endoscopic Approach
00BY Central Nervous System and Cranial Nerves, Excision6 codes
  • 00BY0ZX Excision of Lumbar Spinal Cord, Open Approach, Diagnostic
  • 00BY0ZZ Excision of Lumbar Spinal Cord, Open Approach
  • 00BY3ZX Excision of Lumbar Spinal Cord, Percutaneous Approach, Diagnostic
  • 00BY3ZZ Excision of Lumbar Spinal Cord, Percutaneous Approach
  • 00BY4ZX Excision of Lumbar Spinal Cord, Percutaneous Endoscopic Approach, Diagnostic
  • 00BY4ZZ Excision of Lumbar Spinal Cord, Percutaneous Endoscopic Approach
00DT Central Nervous System and Cranial Nerves, Extraction3 codes
  • 00DT0ZZ Extraction of Spinal Meninges, Open Approach
  • 00DT3ZZ Extraction of Spinal Meninges, Percutaneous Approach
  • 00DT4ZZ Extraction of Spinal Meninges, Percutaneous Endoscopic Approach
00FU Central Nervous System and Cranial Nerves, Fragmentation4 codes
  • 00FU0ZZ Fragmentation in Spinal Canal, Open Approach
  • 00FU3ZZ Fragmentation in Spinal Canal, Percutaneous Approach
  • 00FU4ZZ Fragmentation in Spinal Canal, Percutaneous Endoscopic Approach
  • 00FUXZZ Fragmentation in Spinal Canal, External Approach
00HU Central Nervous System and Cranial Nerves, Insertion9 codes
  • 00HU01Z Insertion of Radioactive Element into Spinal Canal, Open Approach
  • 00HU02Z Insertion of Monitoring Device into Spinal Canal, Open Approach
  • 00HU0MZ Insertion of Neurostimulator Lead into Spinal Canal, Open Approach
  • 00HU0YZ Insertion of Other Device into Spinal Canal, Open Approach
  • 00HU31Z Insertion of Radioactive Element into Spinal Canal, Percutaneous Approach
  • 00HU3MZ Insertion of Neurostimulator Lead into Spinal Canal, Percutaneous Approach
  • 00HU41Z Insertion of Radioactive Element into Spinal Canal, Percutaneous Endoscopic Approach
  • 00HU42Z Insertion of Monitoring Device into Spinal Canal, Percutaneous Endoscopic Approach
  • 00HU4MZ Insertion of Neurostimulator Lead into Spinal Canal, Percutaneous Endoscopic Approach
00HV Central Nervous System and Cranial Nerves, Insertion11 codes
  • 00HV01Z Insertion of Radioactive Element into Spinal Cord, Open Approach
  • 00HV02Z Insertion of Monitoring Device into Spinal Cord, Open Approach
  • 00HV0MZ Insertion of Neurostimulator Lead into Spinal Cord, Open Approach
  • 00HV0YZ Insertion of Other Device into Spinal Cord, Open Approach
  • 00HV31Z Insertion of Radioactive Element into Spinal Cord, Percutaneous Approach
  • 00HV3MZ Insertion of Neurostimulator Lead into Spinal Cord, Percutaneous Approach
  • 00HV3YZ Insertion of Other Device into Spinal Cord, Percutaneous Approach
  • 00HV41Z Insertion of Radioactive Element into Spinal Cord, Percutaneous Endoscopic Approach
  • 00HV42Z Insertion of Monitoring Device into Spinal Cord, Percutaneous Endoscopic Approach
  • 00HV4MZ Insertion of Neurostimulator Lead into Spinal Cord, Percutaneous Endoscopic Approach
  • 00HV4YZ Insertion of Other Device into Spinal Cord, Percutaneous Endoscopic Approach
00JU Central Nervous System and Cranial Nerves, Inspection2 codes
  • 00JU0ZZ Inspection of Spinal Canal, Open Approach
  • 00JU4ZZ Inspection of Spinal Canal, Percutaneous Endoscopic Approach
00JV Central Nervous System and Cranial Nerves, Inspection2 codes
  • 00JV0ZZ Inspection of Spinal Cord, Open Approach
  • 00JV4ZZ Inspection of Spinal Cord, Percutaneous Endoscopic Approach
00NT Central Nervous System and Cranial Nerves, Release3 codes
  • 00NT0ZZ Release Spinal Meninges, Open Approach
  • 00NT3ZZ Release Spinal Meninges, Percutaneous Approach
  • 00NT4ZZ Release Spinal Meninges, Percutaneous Endoscopic Approach
00NW Central Nervous System and Cranial Nerves, Release3 codes
  • 00NW0ZZ Release Cervical Spinal Cord, Open Approach
  • 00NW3ZZ Release Cervical Spinal Cord, Percutaneous Approach
  • 00NW4ZZ Release Cervical Spinal Cord, Percutaneous Endoscopic Approach
00NX Central Nervous System and Cranial Nerves, Release3 codes
  • 00NX0ZZ Release Thoracic Spinal Cord, Open Approach
  • 00NX3ZZ Release Thoracic Spinal Cord, Percutaneous Approach
  • 00NX4ZZ Release Thoracic Spinal Cord, Percutaneous Endoscopic Approach
00NY Central Nervous System and Cranial Nerves, Release3 codes
  • 00NY0ZZ Release Lumbar Spinal Cord, Open Approach
  • 00NY3ZZ Release Lumbar Spinal Cord, Percutaneous Approach
  • 00NY4ZZ Release Lumbar Spinal Cord, Percutaneous Endoscopic Approach
00PU Central Nervous System and Cranial Nerves, Removal13 codes
  • 00PU00Z Removal of Drainage Device from Spinal Canal, Open Approach
  • 00PU02Z Removal of Monitoring Device from Spinal Canal, Open Approach
  • 00PU03Z Removal of Infusion Device from Spinal Canal, Open Approach
  • 00PU0JZ Removal of Synthetic Substitute from Spinal Canal, Open Approach
  • 00PU0MZ Removal of Neurostimulator Lead from Spinal Canal, Open Approach
  • 00PU0YZ Removal of Other Device from Spinal Canal, Open Approach
  • 00PU3JZ Removal of Synthetic Substitute from Spinal Canal, Percutaneous Approach
  • 00PU3MZ Removal of Neurostimulator Lead from Spinal Canal, Percutaneous Approach
  • 00PU40Z Removal of Drainage Device from Spinal Canal, Percutaneous Endoscopic Approach
  • 00PU42Z Removal of Monitoring Device from Spinal Canal, Percutaneous Endoscopic Approach
  • 00PU43Z Removal of Infusion Device from Spinal Canal, Percutaneous Endoscopic Approach
  • 00PU4JZ Removal of Synthetic Substitute from Spinal Canal, Percutaneous Endoscopic Approach
  • 00PU4MZ Removal of Neurostimulator Lead from Spinal Canal, Percutaneous Endoscopic Approach
00PV Central Nervous System and Cranial Nerves, Removal3 codes
  • 00PV0MZ Removal of Neurostimulator Lead from Spinal Cord, Open Approach
  • 00PV3MZ Removal of Neurostimulator Lead from Spinal Cord, Percutaneous Approach
  • 00PV4MZ Removal of Neurostimulator Lead from Spinal Cord, Percutaneous Endoscopic Approach
00QT Central Nervous System and Cranial Nerves, Repair3 codes
  • 00QT0ZZ Repair Spinal Meninges, Open Approach
  • 00QT3ZZ Repair Spinal Meninges, Percutaneous Approach
  • 00QT4ZZ Repair Spinal Meninges, Percutaneous Endoscopic Approach
00QW Central Nervous System and Cranial Nerves, Repair3 codes
  • 00QW0ZZ Repair Cervical Spinal Cord, Open Approach
  • 00QW3ZZ Repair Cervical Spinal Cord, Percutaneous Approach
  • 00QW4ZZ Repair Cervical Spinal Cord, Percutaneous Endoscopic Approach
00QX Central Nervous System and Cranial Nerves, Repair3 codes
  • 00QX0ZZ Repair Thoracic Spinal Cord, Open Approach
  • 00QX3ZZ Repair Thoracic Spinal Cord, Percutaneous Approach
  • 00QX4ZZ Repair Thoracic Spinal Cord, Percutaneous Endoscopic Approach
00QY Central Nervous System and Cranial Nerves, Repair3 codes
  • 00QY0ZZ Repair Lumbar Spinal Cord, Open Approach
  • 00QY3ZZ Repair Lumbar Spinal Cord, Percutaneous Approach
  • 00QY4ZZ Repair Lumbar Spinal Cord, Percutaneous Endoscopic Approach
00RT Central Nervous System and Cranial Nerves, Replacement6 codes
  • 00RT07Z Replacement of Spinal Meninges with Autologous Tissue Substitute, Open Approach
  • 00RT0JZ Replacement of Spinal Meninges with Synthetic Substitute, Open Approach
  • 00RT0KZ Replacement of Spinal Meninges with Nonautologous Tissue Substitute, Open Approach
  • 00RT47Z Replacement of Spinal Meninges with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 00RT4JZ Replacement of Spinal Meninges with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 00RT4KZ Replacement of Spinal Meninges with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
00SW Central Nervous System and Cranial Nerves, Reposition3 codes
  • 00SW0ZZ Reposition Cervical Spinal Cord, Open Approach
  • 00SW3ZZ Reposition Cervical Spinal Cord, Percutaneous Approach
  • 00SW4ZZ Reposition Cervical Spinal Cord, Percutaneous Endoscopic Approach
00SX Central Nervous System and Cranial Nerves, Reposition3 codes
  • 00SX0ZZ Reposition Thoracic Spinal Cord, Open Approach
  • 00SX3ZZ Reposition Thoracic Spinal Cord, Percutaneous Approach
  • 00SX4ZZ Reposition Thoracic Spinal Cord, Percutaneous Endoscopic Approach
00SY Central Nervous System and Cranial Nerves, Reposition3 codes
  • 00SY0ZZ Reposition Lumbar Spinal Cord, Open Approach
  • 00SY3ZZ Reposition Lumbar Spinal Cord, Percutaneous Approach
  • 00SY4ZZ Reposition Lumbar Spinal Cord, Percutaneous Endoscopic Approach
00UT Central Nervous System and Cranial Nerves, Supplement9 codes
  • 00UT07Z Supplement Spinal Meninges with Autologous Tissue Substitute, Open Approach
  • 00UT0JZ Supplement Spinal Meninges with Synthetic Substitute, Open Approach
  • 00UT0KZ Supplement Spinal Meninges with Nonautologous Tissue Substitute, Open Approach
  • 00UT37Z Supplement Spinal Meninges with Autologous Tissue Substitute, Percutaneous Approach
  • 00UT3JZ Supplement Spinal Meninges with Synthetic Substitute, Percutaneous Approach
  • 00UT3KZ Supplement Spinal Meninges with Nonautologous Tissue Substitute, Percutaneous Approach
  • 00UT47Z Supplement Spinal Meninges with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 00UT4JZ Supplement Spinal Meninges with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 00UT4KZ Supplement Spinal Meninges with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
00WU Central Nervous System and Cranial Nerves, Revision16 codes
  • 00WU00Z Revision of Drainage Device in Spinal Canal, Open Approach
  • 00WU02Z Revision of Monitoring Device in Spinal Canal, Open Approach
  • 00WU03Z Revision of Infusion Device in Spinal Canal, Open Approach
  • 00WU0JZ Revision of Synthetic Substitute in Spinal Canal, Open Approach
  • 00WU0MZ Revision of Neurostimulator Lead in Spinal Canal, Open Approach
  • 00WU0YZ Revision of Other Device in Spinal Canal, Open Approach
  • 00WU30Z Revision of Drainage Device in Spinal Canal, Percutaneous Approach
  • 00WU32Z Revision of Monitoring Device in Spinal Canal, Percutaneous Approach
  • 00WU33Z Revision of Infusion Device in Spinal Canal, Percutaneous Approach
  • 00WU3JZ Revision of Synthetic Substitute in Spinal Canal, Percutaneous Approach
  • 00WU3MZ Revision of Neurostimulator Lead in Spinal Canal, Percutaneous Approach
  • 00WU40Z Revision of Drainage Device in Spinal Canal, Percutaneous Endoscopic Approach
  • 00WU42Z Revision of Monitoring Device in Spinal Canal, Percutaneous Endoscopic Approach
  • 00WU43Z Revision of Infusion Device in Spinal Canal, Percutaneous Endoscopic Approach
  • 00WU4JZ Revision of Synthetic Substitute in Spinal Canal, Percutaneous Endoscopic Approach
  • 00WU4MZ Revision of Neurostimulator Lead in Spinal Canal, Percutaneous Endoscopic Approach
0151 Peripheral Nervous System, Destruction2 codes
  • 01510ZZ Destruction of Cervical Nerve, Open Approach
  • 01514ZZ Destruction of Cervical Nerve, Percutaneous Endoscopic Approach
0158 Peripheral Nervous System, Destruction2 codes
  • 01580ZZ Destruction of Thoracic Nerve, Open Approach
  • 01584ZZ Destruction of Thoracic Nerve, Percutaneous Endoscopic Approach
015B Peripheral Nervous System, Destruction2 codes
  • 015B0ZZ Destruction of Lumbar Nerve, Open Approach
  • 015B4ZZ Destruction of Lumbar Nerve, Percutaneous Endoscopic Approach
015R Peripheral Nervous System, Destruction2 codes
  • 015R0ZZ Destruction of Sacral Nerve, Open Approach
  • 015R4ZZ Destruction of Sacral Nerve, Percutaneous Endoscopic Approach
0181 Peripheral Nervous System, Division3 codes
  • 01810ZZ Division of Cervical Nerve, Open Approach
  • 01813ZZ Division of Cervical Nerve, Percutaneous Approach
  • 01814ZZ Division of Cervical Nerve, Percutaneous Endoscopic Approach
0188 Peripheral Nervous System, Division3 codes
  • 01880ZZ Division of Thoracic Nerve, Open Approach
  • 01883ZZ Division of Thoracic Nerve, Percutaneous Approach
  • 01884ZZ Division of Thoracic Nerve, Percutaneous Endoscopic Approach
018B Peripheral Nervous System, Division3 codes
  • 018B0ZZ Division of Lumbar Nerve, Open Approach
  • 018B3ZZ Division of Lumbar Nerve, Percutaneous Approach
  • 018B4ZZ Division of Lumbar Nerve, Percutaneous Endoscopic Approach
018R Peripheral Nervous System, Division3 codes
  • 018R0ZZ Division of Sacral Nerve, Open Approach
  • 018R3ZZ Division of Sacral Nerve, Percutaneous Approach
  • 018R4ZZ Division of Sacral Nerve, Percutaneous Endoscopic Approach
0PS3 Upper Bones, Reposition5 codes
  • 0PS304Z Reposition Cervical Vertebra with Internal Fixation Device, Open Approach
  • 0PS30ZZ Reposition Cervical Vertebra, Open Approach
  • 0PS334Z Reposition Cervical Vertebra with Internal Fixation Device, Percutaneous Approach
  • 0PS344Z Reposition Cervical Vertebra with Internal Fixation Device, Percutaneous Endoscopic Approach
  • 0PS34ZZ Reposition Cervical Vertebra, Percutaneous Endoscopic Approach
0PS4 Upper Bones, Reposition7 codes
  • 0PS403Z Reposition Thoracic Vertebra with Spinal Stabilization Device, Vertebral Body Tether, Open Approach
  • 0PS404Z Reposition Thoracic Vertebra with Internal Fixation Device, Open Approach
  • 0PS40ZZ Reposition Thoracic Vertebra, Open Approach
  • 0PS434Z Reposition Thoracic Vertebra with Internal Fixation Device, Percutaneous Approach
  • 0PS443Z Reposition Thoracic Vertebra with Spinal Stabilization Device, Vertebral Body Tether, Percutaneous Endoscopic Approach
  • 0PS444Z Reposition Thoracic Vertebra with Internal Fixation Device, Percutaneous Endoscopic Approach
  • 0PS44ZZ Reposition Thoracic Vertebra, Percutaneous Endoscopic Approach
0QS0 Lower Bones, Reposition7 codes
  • 0QS003Z Reposition Lumbar Vertebra with Spinal Stabilization Device, Vertebral Body Tether, Open Approach
  • 0QS004Z Reposition Lumbar Vertebra with Internal Fixation Device, Open Approach
  • 0QS00ZZ Reposition Lumbar Vertebra, Open Approach
  • 0QS034Z Reposition Lumbar Vertebra with Internal Fixation Device, Percutaneous Approach
  • 0QS043Z Reposition Lumbar Vertebra with Spinal Stabilization Device, Vertebral Body Tether, Percutaneous Endoscopic Approach
  • 0QS044Z Reposition Lumbar Vertebra with Internal Fixation Device, Percutaneous Endoscopic Approach
  • 0QS04ZZ Reposition Lumbar Vertebra, Percutaneous Endoscopic Approach
0QS1 Lower Bones, Reposition5 codes
  • 0QS104Z Reposition Sacrum with Internal Fixation Device, Open Approach
  • 0QS10ZZ Reposition Sacrum, Open Approach
  • 0QS134Z Reposition Sacrum with Internal Fixation Device, Percutaneous Approach
  • 0QS144Z Reposition Sacrum with Internal Fixation Device, Percutaneous Endoscopic Approach
  • 0QS14ZZ Reposition Sacrum, Percutaneous Endoscopic Approach
0QSS Lower Bones, Reposition6 codes
  • 0QSS04Z Reposition Coccyx with Internal Fixation Device, Open Approach
  • 0QSS0ZZ Reposition Coccyx, Open Approach
  • 0QSS34Z Reposition Coccyx with Internal Fixation Device, Percutaneous Approach
  • 0QSS3ZZ Reposition Coccyx, Percutaneous Approach
  • 0QSS44Z Reposition Coccyx with Internal Fixation Device, Percutaneous Endoscopic Approach
  • 0QSS4ZZ Reposition Coccyx, Percutaneous Endoscopic Approach
0R53 Upper Joints, Destruction1 code
  • 0R530ZZ Destruction of Cervical Vertebral Disc, Open Approach
0R55 Upper Joints, Destruction1 code
  • 0R550ZZ Destruction of Cervicothoracic Vertebral Disc, Open Approach
0R59 Upper Joints, Destruction1 code
  • 0R590ZZ Destruction of Thoracic Vertebral Disc, Open Approach
0R5B Upper Joints, Destruction1 code
  • 0R5B0ZZ Destruction of Thoracolumbar Vertebral Disc, Open Approach
0RB0 Upper Joints, Excision3 codes
  • 0RB00ZZ Excision of Occipital-cervical Joint, Open Approach
  • 0RB03ZZ Excision of Occipital-cervical Joint, Percutaneous Approach
  • 0RB04ZZ Excision of Occipital-cervical Joint, Percutaneous Endoscopic Approach
0RB1 Upper Joints, Excision3 codes
  • 0RB10ZZ Excision of Cervical Vertebral Joint, Open Approach
  • 0RB13ZZ Excision of Cervical Vertebral Joint, Percutaneous Approach
  • 0RB14ZZ Excision of Cervical Vertebral Joint, Percutaneous Endoscopic Approach
0RB3 Upper Joints, Excision3 codes
  • 0RB30ZZ Excision of Cervical Vertebral Disc, Open Approach
  • 0RB33ZZ Excision of Cervical Vertebral Disc, Percutaneous Approach
  • 0RB34ZZ Excision of Cervical Vertebral Disc, Percutaneous Endoscopic Approach
0RB4 Upper Joints, Excision3 codes
  • 0RB40ZZ Excision of Cervicothoracic Vertebral Joint, Open Approach
  • 0RB43ZZ Excision of Cervicothoracic Vertebral Joint, Percutaneous Approach
  • 0RB44ZZ Excision of Cervicothoracic Vertebral Joint, Percutaneous Endoscopic Approach
0RB5 Upper Joints, Excision3 codes
  • 0RB50ZZ Excision of Cervicothoracic Vertebral Disc, Open Approach
  • 0RB53ZZ Excision of Cervicothoracic Vertebral Disc, Percutaneous Approach
  • 0RB54ZZ Excision of Cervicothoracic Vertebral Disc, Percutaneous Endoscopic Approach
0RB6 Upper Joints, Excision3 codes
  • 0RB60ZZ Excision of Thoracic Vertebral Joint, Open Approach
  • 0RB63ZZ Excision of Thoracic Vertebral Joint, Percutaneous Approach
  • 0RB64ZZ Excision of Thoracic Vertebral Joint, Percutaneous Endoscopic Approach
0RB9 Upper Joints, Excision3 codes
  • 0RB90ZZ Excision of Thoracic Vertebral Disc, Open Approach
  • 0RB93ZZ Excision of Thoracic Vertebral Disc, Percutaneous Approach
  • 0RB94ZZ Excision of Thoracic Vertebral Disc, Percutaneous Endoscopic Approach
0RBA Upper Joints, Excision3 codes
  • 0RBA0ZZ Excision of Thoracolumbar Vertebral Joint, Open Approach
  • 0RBA3ZZ Excision of Thoracolumbar Vertebral Joint, Percutaneous Approach
  • 0RBA4ZZ Excision of Thoracolumbar Vertebral Joint, Percutaneous Endoscopic Approach
0RBB Upper Joints, Excision3 codes
  • 0RBB0ZZ Excision of Thoracolumbar Vertebral Disc, Open Approach
  • 0RBB3ZZ Excision of Thoracolumbar Vertebral Disc, Percutaneous Approach
  • 0RBB4ZZ Excision of Thoracolumbar Vertebral Disc, Percutaneous Endoscopic Approach
0RQ3 Upper Joints, Repair1 code
  • 0RQ30ZZ Repair Cervical Vertebral Disc, Open Approach
0RQ9 Upper Joints, Repair1 code
  • 0RQ90ZZ Repair Thoracic Vertebral Disc, Open Approach
0RQB Upper Joints, Repair1 code
  • 0RQB0ZZ Repair Thoracolumbar Vertebral Disc, Open Approach
0RR9 Upper Joints, Replacement1 code
  • 0RR90JZ Replacement of Thoracic Vertebral Disc with Synthetic Substitute, Open Approach
0RRB Upper Joints, Replacement1 code
  • 0RRB0JZ Replacement of Thoracolumbar Vertebral Disc with Synthetic Substitute, Open Approach
0RT3 Upper Joints, Resection1 code
  • 0RT30ZZ Resection of Cervical Vertebral Disc, Open Approach
0RT4 Upper Joints, Resection1 code
  • 0RT40ZZ Resection of Cervicothoracic Vertebral Joint, Open Approach
0RT5 Upper Joints, Resection1 code
  • 0RT50ZZ Resection of Cervicothoracic Vertebral Disc, Open Approach
0RT9 Upper Joints, Resection1 code
  • 0RT90ZZ Resection of Thoracic Vertebral Disc, Open Approach
0RTB Upper Joints, Resection1 code
  • 0RTB0ZZ Resection of Thoracolumbar Vertebral Disc, Open Approach
0RU3 Upper Joints, Supplement9 codes
  • 0RU307Z Supplement Cervical Vertebral Disc with Autologous Tissue Substitute, Open Approach
  • 0RU30JZ Supplement Cervical Vertebral Disc with Synthetic Substitute, Open Approach
  • 0RU30KZ Supplement Cervical Vertebral Disc with Nonautologous Tissue Substitute, Open Approach
  • 0RU337Z Supplement Cervical Vertebral Disc with Autologous Tissue Substitute, Percutaneous Approach
  • 0RU33JZ Supplement Cervical Vertebral Disc with Synthetic Substitute, Percutaneous Approach
  • 0RU33KZ Supplement Cervical Vertebral Disc with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0RU347Z Supplement Cervical Vertebral Disc with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0RU34JZ Supplement Cervical Vertebral Disc with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0RU34KZ Supplement Cervical Vertebral Disc with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0RU9 Upper Joints, Supplement9 codes
  • 0RU907Z Supplement Thoracic Vertebral Disc with Autologous Tissue Substitute, Open Approach
  • 0RU90JZ Supplement Thoracic Vertebral Disc with Synthetic Substitute, Open Approach
  • 0RU90KZ Supplement Thoracic Vertebral Disc with Nonautologous Tissue Substitute, Open Approach
  • 0RU937Z Supplement Thoracic Vertebral Disc with Autologous Tissue Substitute, Percutaneous Approach
  • 0RU93JZ Supplement Thoracic Vertebral Disc with Synthetic Substitute, Percutaneous Approach
  • 0RU93KZ Supplement Thoracic Vertebral Disc with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0RU947Z Supplement Thoracic Vertebral Disc with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0RU94JZ Supplement Thoracic Vertebral Disc with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0RU94KZ Supplement Thoracic Vertebral Disc with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0RUB Upper Joints, Supplement9 codes
  • 0RUB07Z Supplement Thoracolumbar Vertebral Disc with Autologous Tissue Substitute, Open Approach
  • 0RUB0JZ Supplement Thoracolumbar Vertebral Disc with Synthetic Substitute, Open Approach
  • 0RUB0KZ Supplement Thoracolumbar Vertebral Disc with Nonautologous Tissue Substitute, Open Approach
  • 0RUB37Z Supplement Thoracolumbar Vertebral Disc with Autologous Tissue Substitute, Percutaneous Approach
  • 0RUB3JZ Supplement Thoracolumbar Vertebral Disc with Synthetic Substitute, Percutaneous Approach
  • 0RUB3KZ Supplement Thoracolumbar Vertebral Disc with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0RUB47Z Supplement Thoracolumbar Vertebral Disc with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0RUB4JZ Supplement Thoracolumbar Vertebral Disc with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0RUB4KZ Supplement Thoracolumbar Vertebral Disc with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0RW3 Upper Joints, Revision3 codes
  • 0RW30JZ Revision of Synthetic Substitute in Cervical Vertebral Disc, Open Approach
  • 0RW33JZ Revision of Synthetic Substitute in Cervical Vertebral Disc, Percutaneous Approach
  • 0RW34JZ Revision of Synthetic Substitute in Cervical Vertebral Disc, Percutaneous Endoscopic Approach
0RW5 Upper Joints, Revision3 codes
  • 0RW50JZ Revision of Synthetic Substitute in Cervicothoracic Vertebral Disc, Open Approach
  • 0RW53JZ Revision of Synthetic Substitute in Cervicothoracic Vertebral Disc, Percutaneous Approach
  • 0RW54JZ Revision of Synthetic Substitute in Cervicothoracic Vertebral Disc, Percutaneous Endoscopic Approach
0RW9 Upper Joints, Revision3 codes
  • 0RW90JZ Revision of Synthetic Substitute in Thoracic Vertebral Disc, Open Approach
  • 0RW93JZ Revision of Synthetic Substitute in Thoracic Vertebral Disc, Percutaneous Approach
  • 0RW94JZ Revision of Synthetic Substitute in Thoracic Vertebral Disc, Percutaneous Endoscopic Approach
0RWB Upper Joints, Revision3 codes
  • 0RWB0JZ Revision of Synthetic Substitute in Thoracolumbar Vertebral Disc, Open Approach
  • 0RWB3JZ Revision of Synthetic Substitute in Thoracolumbar Vertebral Disc, Percutaneous Approach
  • 0RWB4JZ Revision of Synthetic Substitute in Thoracolumbar Vertebral Disc, Percutaneous Endoscopic Approach
0S52 Lower Joints, Destruction3 codes
  • 0S520ZZ Destruction of Lumbar Vertebral Disc, Open Approach
  • 0S523ZZ Destruction of Lumbar Vertebral Disc, Percutaneous Approach
  • 0S524ZZ Destruction of Lumbar Vertebral Disc, Percutaneous Endoscopic Approach
0S54 Lower Joints, Destruction3 codes
  • 0S540ZZ Destruction of Lumbosacral Disc, Open Approach
  • 0S543ZZ Destruction of Lumbosacral Disc, Percutaneous Approach
  • 0S544ZZ Destruction of Lumbosacral Disc, Percutaneous Endoscopic Approach
0SB0 Lower Joints, Excision3 codes
  • 0SB00ZZ Excision of Lumbar Vertebral Joint, Open Approach
  • 0SB03ZZ Excision of Lumbar Vertebral Joint, Percutaneous Approach
  • 0SB04ZZ Excision of Lumbar Vertebral Joint, Percutaneous Endoscopic Approach
0SB2 Lower Joints, Excision3 codes
  • 0SB20ZZ Excision of Lumbar Vertebral Disc, Open Approach
  • 0SB23ZZ Excision of Lumbar Vertebral Disc, Percutaneous Approach
  • 0SB24ZZ Excision of Lumbar Vertebral Disc, Percutaneous Endoscopic Approach
0SB3 Lower Joints, Excision3 codes
  • 0SB30ZZ Excision of Lumbosacral Joint, Open Approach
  • 0SB33ZZ Excision of Lumbosacral Joint, Percutaneous Approach
  • 0SB34ZZ Excision of Lumbosacral Joint, Percutaneous Endoscopic Approach
0SB4 Lower Joints, Excision3 codes
  • 0SB40ZZ Excision of Lumbosacral Disc, Open Approach
  • 0SB43ZZ Excision of Lumbosacral Disc, Percutaneous Approach
  • 0SB44ZZ Excision of Lumbosacral Disc, Percutaneous Endoscopic Approach
0SB5 Lower Joints, Excision3 codes
  • 0SB50ZZ Excision of Sacrococcygeal Joint, Open Approach
  • 0SB53ZZ Excision of Sacrococcygeal Joint, Percutaneous Approach
  • 0SB54ZZ Excision of Sacrococcygeal Joint, Percutaneous Endoscopic Approach
0SB6 Lower Joints, Excision3 codes
  • 0SB60ZZ Excision of Coccygeal Joint, Open Approach
  • 0SB63ZZ Excision of Coccygeal Joint, Percutaneous Approach
  • 0SB64ZZ Excision of Coccygeal Joint, Percutaneous Endoscopic Approach
0SB7 Lower Joints, Excision3 codes
  • 0SB70ZZ Excision of Right Sacroiliac Joint, Open Approach
  • 0SB73ZZ Excision of Right Sacroiliac Joint, Percutaneous Approach
  • 0SB74ZZ Excision of Right Sacroiliac Joint, Percutaneous Endoscopic Approach
0SB8 Lower Joints, Excision3 codes
  • 0SB80ZZ Excision of Left Sacroiliac Joint, Open Approach
  • 0SB83ZZ Excision of Left Sacroiliac Joint, Percutaneous Approach
  • 0SB84ZZ Excision of Left Sacroiliac Joint, Percutaneous Endoscopic Approach
0SQ2 Lower Joints, Repair1 code
  • 0SQ20ZZ Repair Lumbar Vertebral Disc, Open Approach
0SQ4 Lower Joints, Repair1 code
  • 0SQ40ZZ Repair Lumbosacral Disc, Open Approach
0ST2 Lower Joints, Resection1 code
  • 0ST20ZZ Resection of Lumbar Vertebral Disc, Open Approach
0ST4 Lower Joints, Resection1 code
  • 0ST40ZZ Resection of Lumbosacral Disc, Open Approach
0SU2 Lower Joints, Supplement9 codes
  • 0SU207Z Supplement Lumbar Vertebral Disc with Autologous Tissue Substitute, Open Approach
  • 0SU20JZ Supplement Lumbar Vertebral Disc with Synthetic Substitute, Open Approach
  • 0SU20KZ Supplement Lumbar Vertebral Disc with Nonautologous Tissue Substitute, Open Approach
  • 0SU237Z Supplement Lumbar Vertebral Disc with Autologous Tissue Substitute, Percutaneous Approach
  • 0SU23JZ Supplement Lumbar Vertebral Disc with Synthetic Substitute, Percutaneous Approach
  • 0SU23KZ Supplement Lumbar Vertebral Disc with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0SU247Z Supplement Lumbar Vertebral Disc with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0SU24JZ Supplement Lumbar Vertebral Disc with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0SU24KZ Supplement Lumbar Vertebral Disc with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0SU4 Lower Joints, Supplement9 codes
  • 0SU407Z Supplement Lumbosacral Disc with Autologous Tissue Substitute, Open Approach
  • 0SU40JZ Supplement Lumbosacral Disc with Synthetic Substitute, Open Approach
  • 0SU40KZ Supplement Lumbosacral Disc with Nonautologous Tissue Substitute, Open Approach
  • 0SU437Z Supplement Lumbosacral Disc with Autologous Tissue Substitute, Percutaneous Approach
  • 0SU43JZ Supplement Lumbosacral Disc with Synthetic Substitute, Percutaneous Approach
  • 0SU43KZ Supplement Lumbosacral Disc with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0SU447Z Supplement Lumbosacral Disc with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0SU44JZ Supplement Lumbosacral Disc with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0SU44KZ Supplement Lumbosacral Disc with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0SW2 Lower Joints, Revision3 codes
  • 0SW20JZ Revision of Synthetic Substitute in Lumbar Vertebral Disc, Open Approach
  • 0SW23JZ Revision of Synthetic Substitute in Lumbar Vertebral Disc, Percutaneous Approach
  • 0SW24JZ Revision of Synthetic Substitute in Lumbar Vertebral Disc, Percutaneous Endoscopic Approach
0SW4 Lower Joints, Revision3 codes
  • 0SW40JZ Revision of Synthetic Substitute in Lumbosacral Disc, Open Approach
  • 0SW43JZ Revision of Synthetic Substitute in Lumbosacral Disc, Percutaneous Approach
  • 0SW44JZ Revision of Synthetic Substitute in Lumbosacral Disc, Percutaneous Endoscopic Approach
XNS0 New Technology, Bones, Reposition4 codes
  • XNS0032 Reposition of Lumbar Vertebra using Magnetically Controlled Growth Rod(s), Open Approach, New Technology Group 2
  • XNS00C7 Reposition of Lumbar Vertebra using Posterior (Dynamic) Distraction Device, Open Approach, New Technology Group 7
  • XNS0332 Reposition of Lumbar Vertebra using Magnetically Controlled Growth Rod(s), Percutaneous Approach, New Technology Group 2
  • XNS03C7 Reposition of Lumbar Vertebra using Posterior (Dynamic) Distraction Device, Percutaneous Approach, New Technology Group 7
XNS3 New Technology, Bones, Reposition2 codes
  • XNS3032 Reposition of Cervical Vertebra using Magnetically Controlled Growth Rod(s), Open Approach, New Technology Group 2
  • XNS3332 Reposition of Cervical Vertebra using Magnetically Controlled Growth Rod(s), Percutaneous Approach, New Technology Group 2
XNS4 New Technology, Bones, Reposition4 codes
  • XNS4032 Reposition of Thoracic Vertebra using Magnetically Controlled Growth Rod(s), Open Approach, New Technology Group 2
  • XNS40C7 Reposition of Thoracic Vertebra using Posterior (Dynamic) Distraction Device, Open Approach, New Technology Group 7
  • XNS4332 Reposition of Thoracic Vertebra using Magnetically Controlled Growth Rod(s), Percutaneous Approach, New Technology Group 2
  • XNS43C7 Reposition of Thoracic Vertebra using Posterior (Dynamic) Distraction Device, Percutaneous Approach, New Technology Group 7
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 519?

MS-DRG 519 (Back and Neck Procedures Except Spinal Fusion with CC) is a surgical DRG in MDC 08 (Diseases & Disorders of the Musculoskeletal System & Connective Tissue). Its FY 2026 relative weight is 2.0002 with a geometric mean length of stay of 3.2 days.

What is the difference between DRG 519, 520?

All 2 share the same base category; the severity of secondary diagnoses separates them: 519 (with CC), 520 (without CC/MCC). A major complication or comorbidity (MCC) places the case in the highest-weighted DRG of the family; a CC in the middle; neither in the lowest.

How many procedure codes group to DRG 519?

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

What is the relative weight of DRG 519?

The FY 2026 relative weight of this DRG is 2.0002, meaning reimbursement of roughly 2.00 times the average Medicare inpatient case. Multiply by a hospital's blended base rate for the approximate payment.

← PreviousDRG 518 – Back and Neck Procedures Except Spinal Fusion with MCC or
Source: CMS ICD-10 MS-DRG v43.0 Definitions Manual and the FY 2026 IPPS Final Rule (Table 5), effective October 1, 2025 through September 30, 2026. We publish the DRG assignments as CMS defines them and add the navigation, search, and code links.