2025 ICD-10-CM Procedure Code XRH74FA

Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into 2 to 7 Thoracic Vertebral Joints, Percutaneous Endoscopic Approach, New Technology Group 10

ICD-10-PCS Code:: XRH74FA
ICD-10-PCS Code for:: Insert Pdcl Ca/PK Stblz in 2-7 T Jt, Perc Endo, New Tech 10
Is Billable?: Yes - Valid for Submission
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XRH74FA is a billable procedure code used to specify the performance of insertion of pedicle based carbon/peek spinal stabilization device into 2 to 7 thoracic vertebral joints, percutaneous endoscopic approach, new technology group 10. The code is valid for the year 2025 for the submission of HIPAA-covered transactions. The procedure code 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.

Table of Contents

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

XRH74FA 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 joints body system, classified under insertion operation. The applicable bodypart for this procedure code is thoracic vertebral joints, 2 to 7.

Position	Designation	Character	Label	Procedures Notes
1	Section	X	New Technology
2	Body System	R	Joints
3	Operation	H	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
4	BodyPart	7	Thoracic Vertebral Joints, 2 to 7
5	Approach	4	Percutaneous Endoscopic	Involves: Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure
6	Device/Substance/Technology	F	Carbon/PEEK Spinal Stabilization Device, Pedicle Based
7	Qualifier	A	New Technology Group 10

New 2025 ICD-10-PCS Code

XRH74FA is new to ICD-10-PCS code set for the FY 2025, effective October 1, 2022.

Replacement Code

XRH74FA replaces the following previously assigned ICD-10-PCS code(s):

0RH64CZ - Insert of Pedcl Stabl Dev into Thor Jt, Perc Endo Approach
0RH64CZ - Insert of Pedcl Stabl Dev into Thor Jt, Perc Endo Approach
0RH64CZ - Insert of Pedcl Stabl Dev into Thor Jt, Perc Endo Approach
0RH64CZ - Insert of Pedcl Stabl Dev into Thor Jt, Perc Endo Approach
0RH64CZ - Insert of Pedcl Stabl Dev into Thor Jt, Perc Endo Approach
0RH64CZ - Insert of Pedcl Stabl Dev into Thor Jt, Perc Endo Approach

XRH74FA 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 XRH74FA is present in the following groups for version MS-DRG V42.0 applicable from 10/01/2024 through 09/30/2025.

MS-DRG	MS-DRG Title	MCD
028	Spinal Procedures with MCC	01
029	Spinal Procedures with CC or Spinal Neurostimulators	01
030	Spinal Procedures without CC/MCC	01
907	Other O.R. Procedures for Injuries with MCC	21
908	Other O.R. Procedures for Injuries with CC	21
909	Other O.R. Procedures for Injuries without CC/MCC	21
957	Other O.R. Procedures for Multiple Significant Trauma with MCC	24
958	Other O.R. Procedures for Multiple Significant Trauma with CC	24
959	Other O.R. Procedures for Multiple Significant Trauma without CC/MCC	24

Other ICD-10-PCS Codes Used for Insertion Thoracic Vertebral Joints, 2 to 7

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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 2025 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2024 through September 30, 2025.

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.