2025 ICD-10-CM Procedure Code 00RT0JZ

Replacement of Spinal Meninges with Synthetic Substitute, Open Approach

ICD-10-PCS Code:: 00RT0JZ
ICD-10-PCS Code for:: Replacement of Spinal Meninges with Synth Sub, Open Approac
Is Billable?: Yes - Valid for Submission
Code Navigator:

00RT0JZ is a billable procedure code used to specify the performance of replacement of spinal meninges with synthetic substitute, open approach. The code is valid for the year 2025 for the submission of HIPAA-covered transactions. The procedure code involves putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part. Procedure code explanation: the body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during the replacement procedure. a removal procedure is coded for taking out the device used in a previous replacement procedure total hip replacement, bone graft, free skin graft

Table of Contents

Code Information
PCS Table
Replacement Code
Clinical Classification
Diagnostic Related Groups Mapping
Convert to ICD-9-PCS
Other Similar Codes

00RT0JZ PCS Table

In an PCS table each code is represented by up seven alphanumeric characters, with each character in the table respresenting different aspects of the procedure. In the table provided below, each row represents an individual character and includes information about the character's position, designation, label, and procedure notes. For this PCS table the procedure code is in the medical and surgical section and is part of the central nervous system and cranial nerves body system, classified under replacement operation. The applicable bodypart for this procedure code is spinal meninges.

Position	Designation	Character	Label	Procedures Notes
1	Section	0	Medical and Surgical
2	Body System	0	Central Nervous System and Cranial Nerves
3	Operation	R	Replacement	Involves: Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part Explanation: The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during the Replacement procedure. A Removal procedure is coded for taking out the device used in a previous replacement procedure Includes: Total hip replacement, bone graft, free skin graft
4	BodyPart	T	Spinal Meninges	Includes: Arachnoid mater, spinal Denticulate (dentate) ligament Dura mater, spinal Filum terminale Leptomeninges, spinal Pia mater, spinal
5	Approach	0	Open	Involves: Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure
6	Device	J	Synthetic Substitute	Includes: AbioCor(R) Total Replacement Heart AMPLATZER(R) Muscular VSD Occluder Annuloplasty ring Bard(R) Composix(R) (E/X)(LP) mesh Bard(R) Composix(R) Kugel(R) patch Bard(R) Dulex(tm) mesh Bard(R) Ventralex(tm) hernia patch Barricaid(R) Annular Closure Device (ACD) BRYAN(R) Cervical Disc System Corvia IASD(R) Ex-PRESS(tm) mini glaucoma shunt Flexible Composite Mesh GORE(R) DUALMESH(R) Holter valve ventricular shunt IASD(R) (InterAtrial Shunt Device), Corvia InterAtrial Shunt Device IASD(R), Corvia LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System MitraClip valve repair system Nitinol framed polymer mesh Open Pivot (mechanical) valve Open Pivot Aortic Valve Graft (AVG) Partially absorbable mesh PHYSIOMESH(tm) Flexible Composite Mesh Polymethylmethacrylate (PMMA) Polypropylene mesh PRESTIGE(R) Cervical Disc PROCEED(tm) Ventral Patch Prodisc-C Prodisc-L PROLENE Polypropylene Hernia System (PHS) Rebound HRD(R) (Hernia Repair Device) SynCardia Total Artificial Heart Total artificial (replacement) heart ULTRAPRO Hernia System (UHS) ULTRAPRO Partially Absorbable Lightweight Mesh ULTRAPRO Plug V-Wave Interatrial Shunt System Ventrio(tm) Hernia Patch Zimmer(R) NexGen(R) LPS Mobile Bearing Knee Zimmer(R) NexGen(R) LPS-Flex Mobile Knee
7	Qualifier	Z	No Qualifier	Explanation: The value Z is used for the seventh character to indicate that a specific qualifier does not apply to the procedure.

Replacement Code

00RT0JZ replaces the following previously assigned ICD-10-PCS code(s):

00QT0ZZ - Repair Spinal Meninges, Open Approach
00QT0ZZ - Repair Spinal Meninges, Open Approach
00QT0ZZ - Repair Spinal Meninges, Open Approach
00QT0ZZ - Repair Spinal Meninges, Open Approach
00QT0ZZ - Repair Spinal Meninges, Open Approach
00QT0ZZ - Repair Spinal Meninges, Open Approach

Clinical Classification

Clinical Category is Meninges repair
CCSR Category Code: CNS011
Clinical Domain is Central Nervous System Procedures - CNS contains 14 categories that include procedures performed on the central nervous system (brain, spinal cord, and CNS nerves) such as spinal cord decompression, lumbar puncture, and spinal epidural catheter placement.

00RT0JZ is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together procedures for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on the primary procedure being performed. Once a patient is assigned a particular group, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care associated with a particular procedure. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The procedure code 00RT0JZ is present in the following groups for version MS-DRG V42.0 applicable from 10/01/2024 through 09/30/2025.

MS-DRG	MS-DRG Title	MCD
028	Spinal Procedures with MCC	01
029	Spinal Procedures with CC or Spinal Neurostimulators	01
030	Spinal Procedures without CC/MCC	01
518	Back and Neck Procedures Except Spinal Fusion with MCC or Disc Device or Neurostimulator	08
519	Back and Neck Procedures Except Spinal Fusion with CC	08
520	Back and Neck Procedures Except Spinal Fusion without CC/MCC	08
820	Lymphoma and Leukemia with Major O.R. Procedures with MCC	17
821	Lymphoma and Leukemia with Major O.R. Procedures with CC	17
822	Lymphoma and Leukemia with Major O.R. Procedures without CC/MCC	17
826	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCC	17
827	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with CC	17
828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures without CC/MCC	17
907	Other O.R. Procedures for Injuries with MCC	21
908	Other O.R. Procedures for Injuries with CC	21
909	Other O.R. Procedures for Injuries without CC/MCC	21
957	Other O.R. Procedures for Multiple Significant Trauma with MCC	24
958	Other O.R. Procedures for Multiple Significant Trauma with CC	24
959	Other O.R. Procedures for Multiple Significant Trauma without CC/MCC	24

Convert to ICD-9-PCS

The following crosswalk between ICD-10-PCS to ICD-9-PCS is based based on the General Equivalence Mappings (GEMS) information:

ICD-9-PCS: 359 (Approximate Flag) Approximate Flag
The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.

Other ICD-10-PCS Codes Used for Replacement Spinal Meninges

Filter related codes list:

What is ICD-10-PCS?

The ICD-10 Procedure Coding System (ICD-10-PCS) is a catalog of procedural codes used by medical professionals for hospital inpatient healthcare settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates. The 2025 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2024 through September 30, 2025.

Each ICD-10-PCS code has a structure of seven alphanumeric characters and contains no decimals. The first character defines the major "section". Depending on the "section" the second through seventh characters mean different things.