0Q500ZZDestruction of Lumbar Vertebra, Open Approach
- Billable / Specific Code
0Q500ZZ is a billable ICD-10-PCS procedure code for Destruction of Lumbar Vertebra, Open Approach. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to 9 MS-DRGs. The root operation Destruction involves physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Bone excision.
Code Identity
PCS Table Breakdown
Each ICD-10-PCS code is built from seven characters, each an axis of the procedure. Hover or tap the icons for the official CMS definitions.
| Position | Designation | Value | Meaning |
|---|---|---|---|
| 1 | Section | 0 | Medical and Surgical |
| 2 | Body System | Q | Lower Bones |
| 3 | Operation | 5 | Destruction |
| 4 | BodyPart | 0 | Lumbar Vertebra |
| 5 | Approach | 0 | Open |
| 6 | Device | Z | No Device |
| 7 | Qualifier | Z | No Qualifier |
In the ICD-10-PCS Alphabetic Index
These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:
To code destruction of the lumbar vertebra, open the FY 2027 ICD-10-PCS Alphabetic Index at Destruction, then the subterms Vertebra, Lumbar. The index leads to table 0Q5, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 0Q500ZZ.
Clinical Classification (CCSR)
AHRQ groups this procedure code into these clinical categories.
Convert to ICD-9-PCS
Closest ICD-9-PCS equivalents for this code under the General Equivalence Mappings.
Similar Procedure Codes
Questions About 0Q500ZZ
Is 0Q500ZZ a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Destruction of Lumbar Vertebra, Open Approach on inpatient claims from October 1, 2026 through September 30, 2027.
What do the characters in 0Q500ZZ mean?
The code breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character Q is the Body System (Lower Bones); the 3rd character 5 is the Operation (Destruction); the 4th character 0 is the BodyPart (Lumbar Vertebra); the 5th character 0 is the Approach (Open); the 6th character Z is the Device (No Device); the 7th character Z is the Qualifier (No Qualifier).
What MS-DRG does 0Q500ZZ group to?
On an inpatient stay, Destruction of Lumbar Vertebra, Open Approach maps to MS-DRGs 495, 496, 497, 907, 908, 909, 957, 958, 959, with relative weights from 1.1714 to 7.5502. The MS-DRG sets the fixed Medicare payment for the stay.
What is the ICD-9-PCS equivalent of 0Q500ZZ?
Under the General Equivalence Mappings, Destruction of Lumbar Vertebra, Open Approach crosswalks to ICD-9-PCS 77.69 (Local excision of lesion or tissue of bone, other bones). The mapping is approximate, so confirm it fits the documentation.
