0QD00ZZ ICD-10-PCS Code: Extraction of Lumbar Vertebra, 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 SystemQ | Lower Bones |
| 3 | Root OperationD | Extraction Pulling or stripping out or off all or a portion of a body part by the use of force |
| 4 | Body Part0 | Lumbar Vertebra |
| 5 | Approach0 | Open |
| 6 | DeviceZ | No Device |
| 7 | QualifierZ | No Qualifier |
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 15 MS-DRGs:
- MDC 01 — Peripheral, Cranial Nerve and Other Nervous System Procedures: DRG 040, DRG 041, DRG 042
- MDC 08 — Soft Tissue Procedures: DRG 500, DRG 501, DRG 502
- MDC 09 — Other Skin, Subcutaneous Tissue and Breast Procedures: DRG 579, DRG 580, DRG 581
- 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.
0QD10ZZ — Extraction of Sacrum, Open Approach, 0QD20ZZ — Extraction of Right Pelvic Bone, Open Approach, 0QD30ZZ — Extraction of Left Pelvic Bone, Open Approach, 0QD40ZZ — Extraction of Right Acetabulum, Open Approach, 0QD50ZZ — Extraction of Left Acetabulum, Open Approach, 0QD60ZZ — Extraction of Right Upper Femur, Open Approach, 0QD70ZZ — Extraction of Left Upper Femur, Open Approach, 0QD80ZZ — Extraction of Right Femoral Shaft, Open Approach, +16 more
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Bone excision (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.
0QBP4ZZ — Excision of Left Metatarsal, Percutaneous Endoscopic Approach, 0QBQ0ZZ — Excision of Right Toe Phalanx, Open Approach, 0QBQ3ZZ — Excision of Right Toe Phalanx, Percutaneous Approach, 0QBQ4ZZ — Excision of Right Toe Phalanx, Percutaneous Endoscopic Approach, 0QBR0ZZ — Excision of Left Toe Phalanx, Open Approach, 0QBR3ZZ — Excision of Left Toe Phalanx, Percutaneous Approach, 0QBR4ZZ — Excision of Left Toe Phalanx, Percutaneous Endoscopic Approach, 0QBS0ZZ — Excision of Coccyx, Open Approach, 0QBS3ZZ — Excision of Coccyx, Percutaneous Approach, 0QBS4ZZ — Excision of Coccyx, Percutaneous Endoscopic Approach, 0QT20ZZ — Resection of Right Pelvic Bone, Open Approach, 0QT30ZZ — Resection of Left Pelvic Bone, Open Approach, 0QT40ZZ — Resection of Right Acetabulum, Open Approach, 0QT50ZZ — Resection of Left Acetabulum, Open Approach, 0QT60ZZ — Resection of Right Upper Femur, Open Approach, 0QT70ZZ — Resection of Left Upper Femur, Open Approach, 0QT80ZZ — Resection of Right Femoral Shaft, Open Approach, 0QT90ZZ — Resection of Left Femoral Shaft, Open Approach, 0QTB0ZZ — Resection of Right Lower Femur, Open Approach, 0QTC0ZZ — Resection of Left Lower Femur, Open Approach, +568 more
Contextual Map
Every relationship of 0QD00ZZ 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 0QD00ZZ with these 5 related codes in Claim Check
PCS table
- 0QD[PCS table]— CMS ICD-10-PCS tables
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
- Lower Bones — Body System: Lower Bones[Body System]: “Lower Bones”— CMS ICD-10-PCS tables
- Extraction — Operation: Extraction[Operation]: “Extraction”— CMS ICD-10-PCS tables
MS-DRG participation (15)
- DRG 040 — PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC[MS-DRG]: “PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC — Peripheral, Cranial Nerve and Other Nervous System Procedures (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 041 — PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR[MS-DRG]: “PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR — Peripheral, Cranial Nerve and Other Nervous System Procedures (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 042 — PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC[MS-DRG]: “PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC — Peripheral, Cranial Nerve and Other Nervous System Procedures (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 500 — SOFT TISSUE PROCEDURES WITH MCC[MS-DRG]: “SOFT TISSUE PROCEDURES WITH MCC — Soft Tissue Procedures (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 501 — SOFT TISSUE PROCEDURES WITH CC[MS-DRG]: “SOFT TISSUE PROCEDURES WITH CC — Soft Tissue Procedures (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 502 — SOFT TISSUE PROCEDURES WITHOUT CC/MCC[MS-DRG]: “SOFT TISSUE PROCEDURES WITHOUT CC/MCC — Soft Tissue Procedures (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 579 — OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC[MS-DRG]: “OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC — Other Skin, Subcutaneous Tissue and Breast Procedures (MDC 09)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 580 — OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC[MS-DRG]: “OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC — Other Skin, Subcutaneous Tissue and Breast Procedures (MDC 09)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- and 7 more
Clinical classification (CCSR)
- MST018 — Bone excision[CCSR category]: “Bone excision — Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
MDC crossing · diagnoses (33418)
- 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 33413 more
Nearest codes
- 0QD10ZZ — Extraction of Sacrum, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0QD20ZZ — Extraction of Right Pelvic Bone, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0QD30ZZ — Extraction of Left Pelvic Bone, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0QD40ZZ — Extraction of Right Acetabulum, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0QD50ZZ — Extraction of Left Acetabulum, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0QD60ZZ — Extraction of Right Upper Femur, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0QD70ZZ — Extraction of Left Upper Femur, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0QD80ZZ — Extraction of Right Femoral Shaft, 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 FY2026 (April) onward. Note changes are not tracked.
Read from: CMS ICD-10-PCS code tables, index and definitions — FY2026 (April); CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43; 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