2024 ICD-10-CM Procedure Code XNS40C7

Reposition of Thoracic Vertebra using Posterior (Dynamic) Distraction Device, Open Approach, New Technology Group 7

ICD-10-PCS Code:: XNS40C7
ICD-10-PCS Code for:: Reposition Thor Vert w Post (Dyn) Dis Dev, Open, New Tech 7
Is Billable?: Yes - Valid for Submission
Code Navigator:

XNS40C7 is a billable procedure code used to specify the performance of reposition of thoracic vertebra using posterior (dynamic) distraction device, open approach, new technology group 7. The code is valid for the year 2024 for the submission of HIPAA-covered transactions.

Table of Contents

Code Information
PCS Table
Replacement Code
Clinical Classification
Diagnostic Related Groups Mapping
Other Similar Codes

XNS40C7 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 new technology section and is part of the bones body system, classified under reposition operation. The applicable bodypart for this procedure code is thoracic vertebra.

Position	Designation	Character	Label	Procedures Notes
1	Section	X	New Technology
2	Body System	N	Bones
3	Operation	S	Reposition	Involves: Moving to its normal location, or other suitable location, all or a portion of a body part Explanation: The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning correctly. The body part may or may not be cut out or off to be moved to the new location Includes: Reposition of undescended testicle, fracture reduction
4	BodyPart	4	Thoracic Vertebra
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/Substance/Technology	C	Posterior (Dynamic) Distraction Device
7	Qualifier	7	New Technology Group 7

Replacement Code

XNS40C7 replaces the following previously assigned ICD-10-PCS code(s):

0PS404Z - Reposition Thoracic Vertebra with Int Fix, Open Approach
0PS404Z - Reposition Thoracic Vertebra with Int Fix, Open Approach
0PS404Z - Reposition Thoracic Vertebra with Int Fix, Open Approach
0PS404Z - Reposition Thoracic Vertebra with Int Fix, Open Approach
0PS404Z - Reposition Thoracic Vertebra with Int Fix, Open Approach

Clinical Classification

Clinical Category is Bone fixation (excluding extremities)
CCSR Category Code: MST012
Clinical Domain is Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures - MST contains 30 categories that include procedures performed on the musculoskeletal, subcutaneous tissue, and fascia. Examples include hip arthroplasty, knee arthroplasty, spine fusion, and toe and midfoot amputation.

XNS40C7 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 XNS40C7 is present in the following groups for version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

MS-DRG	MS-DRG Title	MCD	Relative Weight
028	SPINAL PROCEDURES WITH MCC	01	6.0261
029	SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS	01	3.4282
030	SPINAL PROCEDURES WITHOUT CC/MCC	01	2.319
518	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR	08	3.6518
519	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC	08	1.9686
520	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC	08	1.4315
820	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC	17	6.0467
821	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC	17	2.2321
822	LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC	17	1.2388
826	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC	17	4.3888
827	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC	17	2.3172
828	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC	17	1.6404
907	OTHER O.R. PROCEDURES FOR INJURIES WITH MCC	21	3.7195
908	OTHER O.R. PROCEDURES FOR INJURIES WITH CC	21	2.0041
909	OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC	21	1.3563
957	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC	24	7.2325
958	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC	24	4.0448
959	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC	24	2.5324

Other ICD-10-PCS Codes Used for Reposition Thoracic Vertebra

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 2024 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2023 through September 30, 2024.

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.