ICD-10-PCS Procedure Code 0SR40JZ

Replacement of Lumbosacral Disc with Synthetic Substitute, Open Approach

Version 2019 Billable Code Non-covered Procedure Codes Over Age 60 Not Covered Medicare
ICD-10-PCS:0SR40JZ
Short Description:Replacement of Lumsac Disc with Synth Sub, Open Approach
Long Description:Replacement of Lumbosacral Disc with Synthetic Substitute, Open Approach

Valid for Submission

ICD-10-PCS 0SR40JZ is a billable procedure code but might not be covered by Medicare. 0SR40JZ is used to indicate the performance of replacement of lumbosacral disc with synthetic substitute, open approach. The code is valid for the year 2019 for the submission of HIPAA-covered transactions.

The procedure code 0SR40JZ is in the medical and surgical section and is part of the lower joints body system, classified under the replacement operation. The applicable body part is lumbosacral disc.

ICD-10-PCS Details

Position Character Code Designation Label Definition
Character 1 0 Section Medical and Surgical
Character 2 S Body System Lower Joints
Character 3 R Operation Replacement Total hip replacement, bone graft, free skin graft
Character 4 4 Body Part Lumbosacral Disc
Character 5 0 Approach Open Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure
Character 6 J Device Synthetic Substitute Zimmer(R) NexGen(R) LPS-Flex Mobile Knee
Character 7 Z Qualifier No Qualifier

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

Diagnostic Related Groups

The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The procedure code 0SR40JZ is grouped in the following groups for version MS-DRG V36.0 applicable from 10/01/2018 through 09/30/2019.

  • 028 - SPINAL PROCEDURES WITH MCC
  • 029 - SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS
  • 030 - SPINAL PROCEDURES WITHOUT CC/MCC
  • 518 - BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR
  • 519 - BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC
  • 520 - BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC
  • 907 - OTHER O.R. PROCEDURES FOR INJURIES WITH MCC
  • 908 - OTHER O.R. PROCEDURES FOR INJURIES WITH CC
  • 909 - OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC
  • 957 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC
  • 958 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC
  • 959 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC

Convert 0SR40JZ 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:

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.

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.