00PU03Z ICD-10-PCS Code: Removal of Infusion Device from Spinal Canal, Open Approach
Axis Breakdown
Every ICD-10-PCS code is exactly seven characters, one per axis. Each character's meaning is defined by its position in the code.
| Position | Value | Meaning |
|---|---|---|
| 1 | Section0 | Medical and Surgical |
| 2 | Body System0 | Central Nervous System and Cranial Nerves |
| 3 | Root OperationP | Removal Taking out or off a device from a body part |
| 4 | Body PartU | Spinal Canal |
| 5 | Approach0 | Open |
| 6 | Device3 | Infusion Device |
| 7 | QualifierZ | No Qualifier |
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.
00P003Z — Removal of Infusion Device from Brain, Open Approach, 00P603Z — Removal of Infusion Device from Cerebral Ventricle, Open Approach, 00PE03Z — Removal of Infusion Device from Cranial Nerve, Open Approach, 00PV03Z — Removal of Infusion Device from Spinal Cord, Open Approach
Same operation — other Approach
Same table and root operation, differing only in the approach character.
00PU33Z — Removal of Infusion Device from Spinal Canal, Percutaneous Approach, 00PU43Z — Removal of Infusion Device from Spinal Canal, Percutaneous Endoscopic Approach, 00PUX3Z — Removal of Infusion Device from Spinal Canal, External Approach
Same operation — other Device
Same table and root operation, differing only in the device character.
00PU00Z — Removal of Drainage Device from Spinal Canal, Open Approach, 00PU02Z — Removal of Monitoring Device from Spinal Canal, Open Approach, 00PU0JZ — Removal of Synthetic Substitute from Spinal Canal, Open Approach, 00PU0MZ — Removal of Neurostimulator Lead from Spinal Canal, Open Approach, 00PU0YZ — Removal of Other Device from Spinal Canal, Open Approach
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Spinal epidural catheter placement (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.
00HU03Z — Insertion of Infusion Device into Spinal Canal, Open Approach, 00HU33Z — Insertion of Infusion Device into Spinal Canal, Percutaneous Approach, 00HU43Z — Insertion of Infusion Device into Spinal Canal, Percutaneous Endoscopic Approach, 00HV03Z — Insertion of Infusion Device into Spinal Cord, Open Approach, 00HV33Z — Insertion of Infusion Device into Spinal Cord, Percutaneous Approach, 00HV43Z — Insertion of Infusion Device into Spinal Cord, Percutaneous Endoscopic Approach, 00WU03Z — Revision of Infusion Device in Spinal Canal, Open Approach, 00WU33Z — Revision of Infusion Device in Spinal Canal, Percutaneous Approach, 00WU43Z — Revision of Infusion Device in Spinal Canal, Percutaneous Endoscopic Approach, 00WUX3Z — Revision of Infusion Device in Spinal Canal, External Approach, 00WV03Z — Revision of Infusion Device in Spinal Cord, Open Approach, 00WV33Z — Revision of Infusion Device in Spinal Cord, Percutaneous Approach, 00WV43Z — Revision of Infusion Device in Spinal Cord, Percutaneous Endoscopic Approach, 00WVX3Z — Revision of Infusion Device in Spinal Cord, External Approach
Contextual Map
Every relationship of 00PU03Z 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.
Run 00PU03Z with these 5 related codes in Claim Check
PCS table
- 00P[PCS table]— CMS ICD-10-PCS tables
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
- Central Nervous System and Cranial Nerves — Body System: Central Nervous System and Cranial Nerves[Body System]: “Central Nervous System and Cranial Nerves”— CMS ICD-10-PCS tables
- Removal — Operation: Removal[Operation]: “Removal”— CMS ICD-10-PCS tables
MS-DRG participation (18)
- DRG 028 — SPINAL PROCEDURES WITH MCC[MS-DRG]: “SPINAL PROCEDURES WITH MCC — Spinal Procedures (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 029 — SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS[MS-DRG]: “SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS — Spinal Procedures (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 030 — SPINAL PROCEDURES WITHOUT CC/MCC[MS-DRG]: “SPINAL PROCEDURES WITHOUT CC/MCC — Spinal Procedures (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- 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)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- 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)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- 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)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- 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)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- 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)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- and 10 more
Clinical classification (CCSR)
- CNS013 — Spinal epidural catheter placement[CCSR category]: “Spinal epidural catheter placement — Central Nervous System Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
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.”— CMS MS-DRG Definitions Manual · FY2026
- 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.”— CMS MS-DRG Definitions Manual · FY2026
- A02.21 — Salmonella meningitis[Same-MDC diagnosis]: “Salmonella meningitis — grouped in MDC 01, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A06.6 — Amebic brain abscess[Same-MDC diagnosis]: “Amebic brain abscess — grouped in MDC 01, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A17.0 — Tuberculous meningitis[Same-MDC diagnosis]: “Tuberculous meningitis — grouped in MDC 01, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A17.1 — Meningeal tuberculoma[Same-MDC diagnosis]: “Meningeal tuberculoma — grouped in MDC 01, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- 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.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- and 28637 more
Nearest codes
- 00P003Z — Removal of Infusion Device from Brain, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 00P603Z — Removal of Infusion Device from Cerebral Ventricle, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 00PE03Z — Removal of Infusion Device from Cranial Nerve, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 00PU00Z — Removal of Drainage Device from Spinal Canal, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 00PU02Z — Removal of Monitoring Device from Spinal Canal, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 00PU0JZ — Removal of Synthetic Substitute from Spinal Canal, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 00PU0MZ — Removal of Neurostimulator Lead from Spinal Canal, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 00PU0YZ — Removal of Other Device from Spinal Canal, Open Approach[One axis away]— CMS ICD-10-PCS tables
Change history
No changes recorded for this code. This ledger tracks additions, deletions and description changes from FY2026 (April) onward. Note changes are not tracked.
Read from: CMS ICD-10-PCS code tables, index and definitions — FY2026 (April); CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43; AHRQ HCUP Clinical Classifications Software Refined for ICD-10-PCS Procedures (hcup-us.ahrq.gov/toolssoftware/ccsr/PRCCSR_v2026-1.zip) — v2026.1. All data sources · How to read the labels