Inpatient Procedure Code
0PS434Z
Reposition Thoracic Vertebra with Internal Fixation Device, Percutaneous Approach
Reposition Thoracic Vertebra with Int Fix, Perc 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 Part4 | Thoracic Vertebra |
| 5 | Approach3 | Percutaneous |
| 6 | Device4 | Internal Fixation Device |
| 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:
- 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.
Contextual Map
Every relationship of 0PS434Z 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
- 0PS[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 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)”
- 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)”
- 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)”
- 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
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.”
- 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.”
- A02.21 — Salmonella meningitis [Same-MDC diagnosis]: “Salmonella meningitis — grouped in MDC 01, the diagnosis side of this code's crossing.” · check together
- A06.6 — Amebic brain abscess [Same-MDC diagnosis]: “Amebic brain abscess — grouped in MDC 01, the diagnosis side of this code's crossing.” · check together
- A17.0 — Tuberculous meningitis [Same-MDC diagnosis]: “Tuberculous meningitis — grouped in MDC 01, the diagnosis side of this code's crossing.” · check together
- A17.1 — Meningeal tuberculoma [Same-MDC diagnosis]: “Meningeal tuberculoma — grouped in MDC 01, the diagnosis side of this code's crossing.” · check together
- 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.” · check together
- and 28637 more
Nearest codes
- 0PS034Z — Reposition Sternum with Internal Fixation Device, Percutaneous Approach [One axis away]
- 0PS134Z — Reposition 1 to 2 Ribs with Internal Fixation Device, Percutaneous Approach [One axis away]
- 0PS234Z — Reposition 3 or More Ribs with Internal Fixation Device, Percutaneous Approach [One axis away]
- 0PS334Z — Reposition Cervical Vertebra with Internal Fixation Device, Percutaneous Approach [One axis away]
- 0PS404Z — Reposition Thoracic Vertebra with Internal Fixation Device, Open Approach [One axis away]
- 0PS43ZZ — Reposition Thoracic Vertebra, Percutaneous Approach [One axis away]
- 0PS444Z — Reposition Thoracic Vertebra with Internal Fixation Device, Percutaneous Endoscopic Approach [One axis away]
- 0PS534Z — Reposition Right Scapula with Internal Fixation Device, Percutaneous Approach [One axis away]
Change history
No changes recorded for this code — unchanged since the FY2026 (April) baseline of the change ledger.