0RBB4ZZ ICD-10-PCS Code: Excision of Thoracolumbar Vertebral Disc, Percutaneous Endoscopic Approach
Excision of Thoracolumbar Vertebral Disc, Perc Endo 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 SystemR | Upper Joints |
| 3 | Root OperationB | Excision Cutting out or off, without replacement, a portion of a body part |
| 4 | Body PartB | Thoracolumbar Vertebral Disc |
| 5 | Approach4 | Percutaneous Endoscopic |
| 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 12 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 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.
0RB54ZZ — Excision of Cervicothoracic Vertebral Disc, Percutaneous Endoscopic Approach, 0RB64ZZ — Excision of Thoracic Vertebral Joint, Percutaneous Endoscopic Approach, 0RB94ZZ — Excision of Thoracic Vertebral Disc, Percutaneous Endoscopic Approach, 0RBA4ZZ — Excision of Thoracolumbar Vertebral Joint, Percutaneous Endoscopic Approach, 0RBC4ZZ — Excision of Right Temporomandibular Joint, Percutaneous Endoscopic Approach, 0RBD4ZZ — Excision of Left Temporomandibular Joint, Percutaneous Endoscopic Approach, 0RBE4ZZ — Excision of Right Sternoclavicular Joint, Percutaneous Endoscopic Approach, 0RBF4ZZ — Excision of Left Sternoclavicular Joint, Percutaneous Endoscopic Approach, +20 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
0RBB0ZZ — Excision of Thoracolumbar Vertebral Disc, Open Approach, 0RBB3ZZ — Excision of Thoracolumbar Vertebral Disc, Percutaneous Approach
Same operation — other Qualifier
Same table and root operation, differing only in the qualifier character.
0RBB4ZX — Excision of Thoracolumbar Vertebral Disc, Percutaneous Endoscopic Approach, Diagnostic
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Vertebral discectomy (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.
0R534ZZ — Destruction of Cervical Vertebral Disc, Percutaneous Endoscopic Approach, 0R550ZZ — Destruction of Cervicothoracic Vertebral Disc, Open Approach, 0R553ZZ — Destruction of Cervicothoracic Vertebral Disc, Percutaneous Approach, 0R554ZZ — Destruction of Cervicothoracic Vertebral Disc, Percutaneous Endoscopic Approach, 0R590ZZ — Destruction of Thoracic Vertebral Disc, Open Approach, 0R593ZZ — Destruction of Thoracic Vertebral Disc, Percutaneous Approach, 0R594ZZ — Destruction of Thoracic Vertebral Disc, Percutaneous Endoscopic Approach, 0R5B0ZZ — Destruction of Thoracolumbar Vertebral Disc, Open Approach, 0R5B3ZZ — Destruction of Thoracolumbar Vertebral Disc, Percutaneous Approach, 0R5B4ZZ — Destruction of Thoracolumbar Vertebral Disc, Percutaneous Endoscopic Approach, 0RT30ZZ — Resection of Cervical Vertebral Disc, Open Approach, 0RT50ZZ — Resection of Cervicothoracic Vertebral Disc, Open Approach, 0RT90ZZ — Resection of Thoracic Vertebral Disc, Open Approach, 0RTB0ZZ — Resection of Thoracolumbar Vertebral Disc, Open Approach, 0S520ZZ — Destruction of Lumbar Vertebral Disc, Open Approach, 0S523ZZ — Destruction of Lumbar Vertebral Disc, Percutaneous Approach, 0S524ZZ — Destruction of Lumbar Vertebral Disc, Percutaneous Endoscopic Approach, 0S540ZZ — Destruction of Lumbosacral Disc, Open Approach, 0S543ZZ — Destruction of Lumbosacral Disc, Percutaneous Approach, 0S544ZZ — Destruction of Lumbosacral Disc, Percutaneous Endoscopic Approach, +10 more
Contextual Map
Every relationship of 0RBB4ZZ 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 0RBB4ZZ with these 5 related codes in Claim Check
PCS table
- 0RB[PCS table]— CMS ICD-10-PCS tables
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
- Upper Joints — Body System: Upper Joints[Body System]: “Upper Joints”— CMS ICD-10-PCS tables
- Excision — Operation: Excision[Operation]: “Excision”— CMS ICD-10-PCS tables
MS-DRG participation (12)
- 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 907 — OTHER O.R. PROCEDURES FOR INJURIES WITH MCC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH MCC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 908 — OTHER O.R. PROCEDURES FOR INJURIES WITH CC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH CC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- and 4 more
Clinical classification (CCSR)
- MST016 — Vertebral discectomy[CCSR category]: “Vertebral discectomy — Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
MDC crossing · diagnoses (34371)
- 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 34366 more
Nearest codes
- 0RB04ZZ — Excision of Occipital-cervical Joint, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0RB14ZZ — Excision of Cervical Vertebral Joint, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0RB34ZZ — Excision of Cervical Vertebral Disc, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0RB44ZZ — Excision of Cervicothoracic Vertebral Joint, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0RB54ZZ — Excision of Cervicothoracic Vertebral Disc, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0RB64ZZ — Excision of Thoracic Vertebral Joint, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0RB94ZZ — Excision of Thoracic Vertebral Disc, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0RBA4ZZ — Excision of Thoracolumbar Vertebral Joint, Percutaneous Endoscopic 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