0RH00DZInsertion of Facet Replacement Spinal Stabilization Device into Occipital-cervical Joint, Open Approach

  • Billable / Specific Code
ICD-10-PCS 0RH00DZ
CMS Source: FY 2027 ICD-10-PCS dataset. Effective Oct 1, 2026 – Sep 30, 2027.FacebookXLinkedInPrint

0RH00DZ is a billable ICD-10-PCS procedure code for Insertion of Facet Replacement Spinal Stabilization Device into Occipital-cervical Joint, Open Approach. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to 10 MS-DRGs. The root operation Insertion involves 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. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Spine fusion.

Code Identity

ICD-10-PCS Code
0RH00DZ
Billable Status
Yes — Valid for Submission
Code Describes
Insertion of Facet Replacement Spinal Stabilization Device into Occipital-cervical Joint, Open Approach
Short Description
Insertion of Facet Stabl Dev into Occip Jt, Open Approach
Parent Code

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.

PositionDesignationValueMeaning
1Section0Medical and Surgical
2Body SystemRUpper Joints
3OperationHInsertion
4BodyPart0Occipital-cervical Joint
5Approach0Open
6DeviceDSpinal Stabilization Device, Facet Replacement
7QualifierZNo Qualifier

In the ICD-10-PCS Alphabetic Index

These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:

Insertion of device in, Joint, Occipital-cervical
Leads to this code's table
Spacer, Insertion of device in, Joint, Occipital-cervical
Leads to this code's table
Spinal Stabilization Device, Pedicle-Based, Occipital-cervical
Leads to this code's table
Spinal Stabilization Device, Facet Replacement, Occipital-cervical
Leads to this code's table
Spinal Stabilization Device, Interspinous Process, Occipital-cervical
Leads to this code's table

To code spinal stabilization device of the occipital-cervical Pedicle-Based, open the FY 2027 ICD-10-PCS Alphabetic Index at Spinal Stabilization Device, then the subterms Pedicle-Based, Occipital-cervical. The index leads to table 0RH, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 0RH00DZ.

Browse the full ICD-10-PCS Alphabetic Index →

Clinical Classification (CCSR)

AHRQ groups this procedure code into these clinical categories.

MST013
Spine fusion
Clinical domain: Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for this code under the General Equivalence Mappings.

84.59
Insertion of other spinal devices
Approximate match.
84.84
Insertion or replacement of facet replacement device(s)
Approximate match.

Similar Procedure Codes

Questions About 0RH00DZ

Is 0RH00DZ a billable code?

Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Insertion of Facet Replacement Spinal Stabilization Device into Occipital-cervical Joint, Open Approach on inpatient claims from October 1, 2026 through September 30, 2027.

What do the characters in 0RH00DZ mean?

The code breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character R is the Body System (Upper Joints); the 3rd character H is the Operation (Insertion); the 4th character 0 is the BodyPart (Occipital-cervical Joint); the 5th character 0 is the Approach (Open); the 6th character D is the Device (Spinal Stabilization Device, Facet Replacement); the 7th character Z is the Qualifier (No Qualifier).

What MS-DRG does 0RH00DZ group to?

On an inpatient stay, Insertion of Facet Replacement Spinal Stabilization Device into Occipital-cervical Joint, Open Approach maps to MS-DRGs 028, 029, 030, 518, 907, 908, 909, 957, 958, 959, with relative weights from 1.3810 to 7.5502. The MS-DRG sets the fixed Medicare payment for the stay.

What is the ICD-9-PCS equivalent of 0RH00DZ?

Under the General Equivalence Mappings, Insertion of Facet Replacement Spinal Stabilization Device into Occipital-cervical Joint, Open Approach crosswalks to ICD-9-PCS 84.59 (Insertion of other spinal devices) and 84.84 (Insertion or replacement of facet replacement device(s)). The mapping is approximate, so confirm it fits the documentation.