00FU4ZZ ICD-10-PCS Code: Fragmentation in Spinal Canal, Percutaneous Endoscopic Approach

MS-DRG Grouper Relationships (FY2026)

Potential MS-DRG participation — not a DRG assignment.

The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 18 MS-DRGs:

• MDC 01 — Spinal Procedures: DRG 028, DRG 029, DRG 030
• MDC 08 — Back and Neck Procedures Except Spinal Fusion or Disc Device or Neurostimulator: DRG 518, DRG 519, DRG 520
• MDC 17 — Lymphoma and Leukemia with Major O.R. Procedures: DRG 820, DRG 821, DRG 822
• MDC 17 — Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures: DRG 826, DRG 827, DRG 828
• MDC 21 — Other O.R. Procedures for Injuries: DRG 907, DRG 908, DRG 909
• MDC 24 — Other O.R. Procedures for Multiple Significant Trauma: DRG 957, DRG 958, DRG 959

From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.

Related Codes

Same operation — other Body Part

Same table and root operation, differing only in the body part character.

00F34ZZ — Fragmentation in Intracranial Epidural Space, Percutaneous Endoscopic Approach, 00F44ZZ — Fragmentation in Intracranial Subdural Space, Percutaneous Endoscopic Approach, 00F54ZZ — Fragmentation in Intracranial Subarachnoid Space, Percutaneous Endoscopic Approach, 00F64ZZ — Fragmentation in Cerebral Ventricle, Percutaneous Endoscopic Approach

Same operation — other Approach

Same table and root operation, differing only in the approach character.

00FU0ZZ — Fragmentation in Spinal Canal, Open Approach, 00FU3ZZ — Fragmentation in Spinal Canal, Percutaneous Approach, 00FUXZZ — Fragmentation in Spinal Canal, External Approach

Same procedure category (CCSR), other tables

AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Spinal canal and spinal cord drainage (excluding lumbar puncture) (Central Nervous System Procedures); listed here are the members in other PCS tables. Source: Clinical Classifications Software Refined (CCSR), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, November 2025.

00CU4ZZ — Extirpation of Matter from Spinal Canal, Percutaneous Endoscopic Approach, 00CW0ZZ — Extirpation of Matter from Cervical Spinal Cord, Open Approach, 00CW3ZZ — Extirpation of Matter from Cervical Spinal Cord, Percutaneous Approach, 00CW4ZZ — Extirpation of Matter from Cervical Spinal Cord, Percutaneous Endoscopic Approach, 00CX0ZZ — Extirpation of Matter from Thoracic Spinal Cord, Open Approach, 00CX3ZZ — Extirpation of Matter from Thoracic Spinal Cord, Percutaneous Approach, 00CX4ZZ — Extirpation of Matter from Thoracic Spinal Cord, Percutaneous Endoscopic Approach, 00CY0ZZ — Extirpation of Matter from Lumbar Spinal Cord, Open Approach, 00CY3ZZ — Extirpation of Matter from Lumbar Spinal Cord, Percutaneous Approach, 00CY4ZZ — Extirpation of Matter from Lumbar Spinal Cord, Percutaneous Endoscopic Approach, 00PU00Z — Removal of Drainage Device from Spinal Canal, Open Approach, 00PU30Z — Removal of Drainage Device from Spinal Canal, Percutaneous Approach, 00PU40Z — Removal of Drainage Device from Spinal Canal, Percutaneous Endoscopic Approach, 00PUX0Z — Removal of Drainage Device from Spinal Canal, External Approach, 00PV00Z — Removal of Drainage Device from Spinal Cord, Open Approach, 00PV30Z — Removal of Drainage Device from Spinal Cord, Percutaneous Approach, 00PV40Z — Removal of Drainage Device from Spinal Cord, Percutaneous Endoscopic Approach, 00PVX0Z — Removal of Drainage Device from Spinal Cord, External Approach, 00WU00Z — Revision of Drainage Device in Spinal Canal, Open Approach, 00WU30Z — Revision of Drainage Device in Spinal Canal, Percutaneous Approach, +31 more

Contextual Map

Every relationship of 00FU4ZZ in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

PCS table

• 00F[PCS table]
• Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”
• Central Nervous System and Cranial Nerves — Body System: Central Nervous System and Cranial Nerves[Body System]: “Central Nervous System and Cranial Nerves”
• Fragmentation — Operation: Fragmentation[Operation]: “Fragmentation”

MS-DRG participation (18)

• DRG 028 — SPINAL PROCEDURES WITH MCC[MS-DRG]: “SPINAL PROCEDURES WITH MCC — Spinal Procedures (MDC 01)”
• DRG 029 — SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS[MS-DRG]: “SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS — Spinal Procedures (MDC 01)”
• DRG 030 — SPINAL PROCEDURES WITHOUT CC/MCC[MS-DRG]: “SPINAL PROCEDURES WITHOUT CC/MCC — Spinal Procedures (MDC 01)”
• DRG 518 — BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR[MS-DRG]: “BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR — Back and Neck Procedures Except Spinal Fusion or Disc Device or Neurostimulator (MDC 08)”
• DRG 519 — BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC[MS-DRG]: “BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC — Back and Neck Procedures Except Spinal Fusion or Disc Device or Neurostimulator (MDC 08)”
• DRG 520 — BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC[MS-DRG]: “BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC — Back and Neck Procedures Except Spinal Fusion or Disc Device or Neurostimulator (MDC 08)”
• DRG 820 — LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC[MS-DRG]: “LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC — Lymphoma and Leukemia with Major O.R. Procedures (MDC 17)”
• DRG 821 — LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC[MS-DRG]: “LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC — Lymphoma and Leukemia with Major O.R. Procedures (MDC 17)”
• and 10 more

Clinical classification (CCSR)

• CNS003 — Spinal canal and spinal cord drainage (excluding lumbar puncture)[CCSR category]: “Spinal canal and spinal cord drainage (excluding lumbar puncture) — Central Nervous System Procedures”

MDC crossing · diagnoses (28642)

• MDC 01 — Diseases and Disorders of the Nervous System[MDC crossing]: “Diseases and Disorders of the Nervous System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
• MDC 08 — Diseases and Disorders of the Musculoskeletal System and Connective Tissue[MDC crossing]: “Diseases and Disorders of the Musculoskeletal System and Connective Tissue — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
• A02.21 — Salmonella meningitis[Same-MDC diagnosis]: “Salmonella meningitis — grouped in MDC 01, the diagnosis side of this code's crossing.” · Check 00FU4ZZ + A02.21 together
• A06.6 — Amebic brain abscess[Same-MDC diagnosis]: “Amebic brain abscess — grouped in MDC 01, the diagnosis side of this code's crossing.” · Check 00FU4ZZ + A06.6 together
• A17.0 — Tuberculous meningitis[Same-MDC diagnosis]: “Tuberculous meningitis — grouped in MDC 01, the diagnosis side of this code's crossing.” · Check 00FU4ZZ + A17.0 together
• A17.1 — Meningeal tuberculoma[Same-MDC diagnosis]: “Meningeal tuberculoma — grouped in MDC 01, the diagnosis side of this code's crossing.” · Check 00FU4ZZ + A17.1 together
• A17.81 — Tuberculoma of brain and spinal cord[Same-MDC diagnosis]: “Tuberculoma of brain and spinal cord — grouped in MDC 01, the diagnosis side of this code's crossing.” · Check 00FU4ZZ + A17.81 together
• and 28637 more

Nearest codes

• 00F34ZZ — Fragmentation in Intracranial Epidural Space, Percutaneous Endoscopic Approach[One axis away]
• 00F44ZZ — Fragmentation in Intracranial Subdural Space, Percutaneous Endoscopic Approach[One axis away]
• 00F54ZZ — Fragmentation in Intracranial Subarachnoid Space, Percutaneous Endoscopic Approach[One axis away]
• 00F64ZZ — Fragmentation in Cerebral Ventricle, Percutaneous Endoscopic Approach[One axis away]
• 00FU0ZZ — Fragmentation in Spinal Canal, Open Approach[One axis away]
• 00FU3ZZ — Fragmentation in Spinal Canal, Percutaneous Approach[One axis away]
• 00FUXZZ — Fragmentation in Spinal Canal, External Approach[One axis away]