2024 ICD-10-CM Procedure Code XNU4356

Supplement Thoracic Vertebra with Mechanically Expandable (Paired) Synthetic Substitute, Percutaneous Approach, New Technology Group 6

ICD-10-PCS Code:: XNU4356
ICD-10-PCS Code for:: Supplement Thor Vert w Mech Expnd Pair, Perc, New Tech 6
Is Billable?: Yes - Valid for Submission
Code Navigator:

XNU4356 is a billable procedure code used to specify the performance of supplement thoracic vertebra with mechanically expandable (paired) synthetic substitute, percutaneous approach, new technology group 6. 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

XNU4356 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 supplement 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	U	Supplement	Involves: Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part
4	BodyPart	4	Thoracic Vertebra
5	Approach	3	Percutaneous	Involves: Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure
6	Device/Substance/Technology	5	Synthetic Substitute, Mechanically Expandable (Paired)
7	Qualifier	6	New Technology Group 6

Replacement Code

XNU4356 replaces the following previously assigned ICD-10-PCS code(s):

0PU43JZ - Supplement Thoracic Vertebra with Synth Sub, Perc Approach
0PU43JZ - Supplement Thoracic Vertebra with Synth Sub, Perc Approach
0PU43JZ - Supplement Thoracic Vertebra with Synth Sub, Perc Approach
0PU43JZ - Supplement Thoracic Vertebra with Synth Sub, Perc Approach
0PU43JZ - Supplement Thoracic Vertebra with Synth Sub, Perc Approach

Clinical Classification

Clinical Category is Musculoskeletal device procedures, NEC
CCSR Category Code: MST029
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.

XNU4356 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 XNU4356 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
515	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC	08	3.1615
516	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC	08	2.0408
517	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC	08	1.4944
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 Supplement 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.