0PS304Z ICD-10-PCS Code: Reposition Cervical Vertebra with Internal Fixation Device, Open Approach
Reposition Cervical Vertebra with Int Fix, 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 SystemP | Upper Bones |
| 3 | Root OperationS | Reposition Moving to its normal location, or other suitable location, all or a portion of a body part |
| 4 | Body Part3 | Cervical Vertebra |
| 5 | Approach0 | Open |
| 6 | Device4 | Internal Fixation Device |
| 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.
0PS004Z — Reposition Sternum with Internal Fixation Device, Open Approach, 0PS104Z — Reposition 1 to 2 Ribs with Internal Fixation Device, Open Approach, 0PS204Z — Reposition 3 or More Ribs with Internal Fixation Device, Open Approach, 0PS404Z — Reposition Thoracic Vertebra with Internal Fixation Device, Open Approach, 0PS504Z — Reposition Right Scapula with Internal Fixation Device, Open Approach, 0PS604Z — Reposition Left Scapula with Internal Fixation Device, Open Approach, 0PS704Z — Reposition Right Glenoid Cavity with Internal Fixation Device, Open Approach, 0PS804Z — Reposition Left Glenoid Cavity with Internal Fixation Device, Open Approach, +18 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
0PS334Z — Reposition Cervical Vertebra with Internal Fixation Device, Percutaneous Approach, 0PS344Z — Reposition Cervical Vertebra with Internal Fixation Device, Percutaneous Endoscopic Approach
Same operation — other Device
Same table and root operation, differing only in the device character.
0PS30ZZ — Reposition Cervical Vertebra, Open Approach
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Bone fixation (excluding extremities) (Musculoskeletal, Subcutaneous Tissue, and Fascia 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.
0PP244Z — Removal of Internal Fixation Device from 3 or More Ribs, Percutaneous Endoscopic Approach, 0PP2X4Z — Removal of Internal Fixation Device from 3 or More Ribs, External Approach, 0PP304Z — Removal of Internal Fixation Device from Cervical Vertebra, Open Approach, 0PP334Z — Removal of Internal Fixation Device from Cervical Vertebra, Percutaneous Approach, 0PP344Z — Removal of Internal Fixation Device from Cervical Vertebra, Percutaneous Endoscopic Approach, 0PP3X4Z — Removal of Internal Fixation Device from Cervical Vertebra, External Approach, 0PP404Z — Removal of Internal Fixation Device from Thoracic Vertebra, Open Approach, 0PP434Z — Removal of Internal Fixation Device from Thoracic Vertebra, Percutaneous Approach, 0PP444Z — Removal of Internal Fixation Device from Thoracic Vertebra, Percutaneous Endoscopic Approach, 0PP4X4Z — Removal of Internal Fixation Device from Thoracic Vertebra, External Approach, 0PW004Z — Revision of Internal Fixation Device in Sternum, Open Approach, 0PW034Z — Revision of Internal Fixation Device in Sternum, Percutaneous Approach, 0PW044Z — Revision of Internal Fixation Device in Sternum, Percutaneous Endoscopic Approach, 0PW0X4Z — Revision of Internal Fixation Device in Sternum, External Approach, 0PW104Z — Revision of Internal Fixation Device in 1 to 2 Ribs, Open Approach, 0PW134Z — Revision of Internal Fixation Device in 1 to 2 Ribs, Percutaneous Approach, 0PW144Z — Revision of Internal Fixation Device in 1 to 2 Ribs, Percutaneous Endoscopic Approach, 0PW1X4Z — Revision of Internal Fixation Device in 1 to 2 Ribs, External Approach, 0PW204Z — Revision of Internal Fixation Device in 3 or More Ribs, Open Approach, 0PW234Z — Revision of Internal Fixation Device in 3 or More Ribs, Percutaneous Approach, +523 more
Contextual Map
Every relationship of 0PS304Z 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 0PS304Z with these 5 related codes in Claim Check
PCS table
- 0PS[PCS table]— CMS ICD-10-PCS tables
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
- Upper Bones — Body System: Upper Bones[Body System]: “Upper Bones”— 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) · 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)
- MST012 — Bone fixation (excluding extremities)[CCSR category]: “Bone fixation (excluding extremities) — Musculoskeletal, Subcutaneous Tissue, and Fascia 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
- 0PS004Z — Reposition Sternum with Internal Fixation Device, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0PS104Z — Reposition 1 to 2 Ribs with Internal Fixation Device, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0PS204Z — Reposition 3 or More Ribs with Internal Fixation Device, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0PS30ZZ — Reposition Cervical Vertebra, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0PS334Z — Reposition Cervical Vertebra with Internal Fixation Device, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0PS344Z — Reposition Cervical Vertebra with Internal Fixation Device, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0PS404Z — Reposition Thoracic Vertebra with Internal Fixation Device, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0PS504Z — Reposition Right Scapula with Internal Fixation Device, 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 FY2016 onward. Note changes are not tracked.
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