00RT4KZ ICD-10-PCS Code: Replacement of Spinal Meninges with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
Replace Spinal Meninges w Nonaut Sub, Perc Endo
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 OperationR | Replacement Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part |
| 4 | Body PartT | Spinal Meninges |
| 5 | Approach4 | Percutaneous Endoscopic |
| 6 | DeviceK | Nonautologous Tissue Substitute |
| 7 | QualifierZ | No Qualifier |
MS-DRG Grouper Relationships (FY2027)
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.
00RK4KZ — Replacement of Trigeminal Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 00RL4KZ — Replacement of Abducens Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 00RM4KZ — Replacement of Facial Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 00RN4KZ — Replacement of Acoustic Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 00RP4KZ — Replacement of Glossopharyngeal Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 00RQ4KZ — Replacement of Vagus Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 00RR4KZ — Replacement of Accessory Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 00RS4KZ — Replacement of Hypoglossal Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, +7 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
00RT0KZ — Replacement of Spinal Meninges with Nonautologous Tissue Substitute, Open Approach
Same operation — other Device
Same table and root operation, differing only in the device character.
00RT47Z — Replacement of Spinal Meninges with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 00RT4JZ — Replacement of Spinal Meninges with Synthetic Substitute, Percutaneous Endoscopic Approach
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Meninges repair (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.
00QT4ZZ — Repair Spinal Meninges, Percutaneous Endoscopic Approach, 00QW0ZZ — Repair Cervical Spinal Cord, Open Approach, 00QW3ZZ — Repair Cervical Spinal Cord, Percutaneous Approach, 00QW4ZZ — Repair Cervical Spinal Cord, Percutaneous Endoscopic Approach, 00QX0ZZ — Repair Thoracic Spinal Cord, Open Approach, 00QX3ZZ — Repair Thoracic Spinal Cord, Percutaneous Approach, 00QX4ZZ — Repair Thoracic Spinal Cord, Percutaneous Endoscopic Approach, 00QY0ZZ — Repair Lumbar Spinal Cord, Open Approach, 00QY3ZZ — Repair Lumbar Spinal Cord, Percutaneous Approach, 00QY4ZZ — Repair Lumbar Spinal Cord, Percutaneous Endoscopic Approach, 00U107Z — Supplement Cerebral Meninges with Autologous Tissue Substitute, Open Approach, 00U10JZ — Supplement Cerebral Meninges with Synthetic Substitute, Open Approach, 00U10KZ — Supplement Cerebral Meninges with Nonautologous Tissue Substitute, Open Approach, 00U137Z — Supplement Cerebral Meninges with Autologous Tissue Substitute, Percutaneous Approach, 00U13JZ — Supplement Cerebral Meninges with Synthetic Substitute, Percutaneous Approach, 00U13KZ — Supplement Cerebral Meninges with Nonautologous Tissue Substitute, Percutaneous Approach, 00U147Z — Supplement Cerebral Meninges with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 00U14JZ — Supplement Cerebral Meninges with Synthetic Substitute, Percutaneous Endoscopic Approach, 00U14KZ — Supplement Cerebral Meninges with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 00U207Z — Supplement Dura Mater with Autologous Tissue Substitute, Open Approach, +205 more
Contextual Map
Every relationship of 00RT4KZ 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 00RT4KZ with these 5 related codes in Claim Check
PCS table
- 00R[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
- Replacement — Operation: Replacement[Operation]: “Replacement”— 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) · FY2027
- 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) · FY2027
- 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) · FY2027
- 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) · FY2027
- 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) · FY2027
- 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) · FY2027
- 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) · FY2027
- 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) · FY2027
- and 10 more
Clinical classification (CCSR)
- CNS011 — Meninges repair[CCSR category]: “Meninges repair — Central Nervous System Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
MDC crossing · diagnoses (28665)
- 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 · FY2027
- 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 · FY2027
- 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) · FY2027
- 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) · FY2027
- 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) · FY2027
- 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) · FY2027
- 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) · FY2027
- and 28660 more
Nearest codes
- 00R14KZ — Replacement of Cerebral Meninges with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 00R24KZ — Replacement of Dura Mater with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 00R64KZ — Replacement of Cerebral Ventricle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 00RF4KZ — Replacement of Olfactory Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 00RG4KZ — Replacement of Optic Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 00RH4KZ — Replacement of Oculomotor Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 00RJ4KZ — Replacement of Trochlear Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 00RK4KZ — Replacement of Trigeminal Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
Change history
- FY2018 — Added to the code set[Change history]— CMS release files (code change ledger) · icd10pcs-fy2018
Change history
- FY2018 — October 1, 2017Added to the code setReplacement of Spinal Meninges with Nonautologous Tissue Substitute, Percutaneous Endoscopic ApproachFY2018 changes
Read from: CMS ICD-10-PCS code tables, index and definitions — FY2027; CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44; 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 · How MedCoder verifies its implementation
Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources