00SY4ZZ ICD-10-PCS Code: Reposition Lumbar Spinal Cord, 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.

00SM4ZZ — Reposition Facial Nerve, Percutaneous Endoscopic Approach, 00SN4ZZ — Reposition Acoustic Nerve, Percutaneous Endoscopic Approach, 00SP4ZZ — Reposition Glossopharyngeal Nerve, Percutaneous Endoscopic Approach, 00SQ4ZZ — Reposition Vagus Nerve, Percutaneous Endoscopic Approach, 00SR4ZZ — Reposition Accessory Nerve, Percutaneous Endoscopic Approach, 00SS4ZZ — Reposition Hypoglossal Nerve, Percutaneous Endoscopic Approach, 00SW4ZZ — Reposition Cervical Spinal Cord, Percutaneous Endoscopic Approach, 00SX4ZZ — Reposition Thoracic Spinal Cord, Percutaneous Endoscopic Approach, +6 more

Same operation — other Approach

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

00SY0ZZ — Reposition Lumbar Spinal Cord, Open Approach, 00SY3ZZ — Reposition Lumbar Spinal Cord, Percutaneous Approach

Same procedure category (CCSR), other tables

AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under CNS procedures, NEC (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.

00PV37Z — Removal of Autologous Tissue Substitute from Spinal Cord, Percutaneous Approach, 00PV3JZ — Removal of Synthetic Substitute from Spinal Cord, Percutaneous Approach, 00PV3KZ — Removal of Nonautologous Tissue Substitute from Spinal Cord, Percutaneous Approach, 00PV3YZ — Removal of Other Device from Spinal Cord, Percutaneous Approach, 00PV42Z — Removal of Monitoring Device from Spinal Cord, Percutaneous Endoscopic Approach, 00PV47Z — Removal of Autologous Tissue Substitute from Spinal Cord, Percutaneous Endoscopic Approach, 00PV4JZ — Removal of Synthetic Substitute from Spinal Cord, Percutaneous Endoscopic Approach, 00PV4KZ — Removal of Nonautologous Tissue Substitute from Spinal Cord, Percutaneous Endoscopic Approach, 00PV4YZ — Removal of Other Device from Spinal Cord, Percutaneous Endoscopic Approach, 00PVX2Z — Removal of Monitoring Device from Spinal Cord, External Approach, 00W002Z — Revision of Monitoring Device in Brain, Open Approach, 00W003Z — Revision of Infusion Device in Brain, Open Approach, 00W007Z — Revision of Autologous Tissue Substitute in Brain, Open Approach, 00W00JZ — Revision of Synthetic Substitute in Brain, Open Approach, 00W00KZ — Revision of Nonautologous Tissue Substitute in Brain, Open Approach, 00W00YZ — Revision of Other Device in Brain, Open Approach, 00W032Z — Revision of Monitoring Device in Brain, Percutaneous Approach, 00W033Z — Revision of Infusion Device in Brain, Percutaneous Approach, 00W037Z — Revision of Autologous Tissue Substitute in Brain, Percutaneous Approach, 00W03JZ — Revision of Synthetic Substitute in Brain, Percutaneous Approach, +604 more

Contextual Map

Every relationship of 00SY4ZZ 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 00SY4ZZ with these 5 related codes in Claim Check

PCS table

• 00S[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
• Reposition — Operation: Reposition[Operation]: “Reposition”— 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)

• CNS014 — CNS procedures, NEC[CCSR category]: “CNS procedures, NEC — 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

• 00SF4ZZ — Reposition Olfactory Nerve, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 00SG4ZZ — Reposition Optic Nerve, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 00SH4ZZ — Reposition Oculomotor Nerve, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 00SJ4ZZ — Reposition Trochlear Nerve, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 00SK4ZZ — Reposition Trigeminal Nerve, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 00SL4ZZ — Reposition Abducens Nerve, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 00SM4ZZ — Reposition Facial Nerve, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 00SN4ZZ — Reposition Acoustic Nerve, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables