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ICD-10-PCS/00P/00PV4JZ
Inpatient Procedure Code

00PV4JZ

Removal of Synthetic Substitute from Spinal Cord, Percutaneous Endoscopic Approach

Removal of Synth Sub from Spinal Cord, Perc Endo 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.

PositionValueMeaning
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 PartV

Spinal Cord

5
Approach4

Percutaneous Endoscopic

6
DeviceJ

Synthetic Substitute

7
QualifierZ

No Qualifier

Potential MS-DRG Relationships (FY2026)

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

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

Contextual Map

Every relationship of 00PV4JZ 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

  • 00P[PCS table]
  • [object Object] — Section: [object Object] [Section]: “[object Object]”
  • [object Object] — Body System: [object Object] [Body System]: “[object Object]”
  • [object Object] — Operation: [object Object] [Operation]: “[object Object]”

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 423 — OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC [MS-DRG]: “OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC — Other Hepatobiliary or Pancreas O.R. Procedures (MDC 07)”
  • DRG 424 — OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC [MS-DRG]: “OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC — Other Hepatobiliary or Pancreas O.R. Procedures (MDC 07)”
  • DRG 425 — OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC [MS-DRG]: “OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC — Other Hepatobiliary or Pancreas O.R. Procedures (MDC 07)”
  • 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

Change history

No changes recorded for this code — unchanged since the FY2026 (April) baseline of the change ledger.