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ICD-10-PCS/0RH/0RH44CZ
Inpatient Procedure Code

0RH44CZ

Insertion of Pedicle-Based Spinal Stabilization Device into Cervicothoracic Vertebral Joint, Percutaneous Endoscopic Approach

Insert of Pedcl Stabl Dev into C-thor Jt, 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.

PositionValueMeaning
1
Section0

Medical and Surgical

2
Body SystemR

Upper Joints

3
Root OperationH

Insertion

Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part

4
Body Part4

Cervicothoracic Vertebral Joint

5
Approach4

Percutaneous Endoscopic

6
DeviceC

Spinal Stabilization Device, Pedicle-Based

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 10 MS-DRGs:

From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.

Contextual Map

Every relationship of 0RH44CZ 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

  • 0RH[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 (10)

  • 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 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)”
  • 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)”
  • DRG 909 — OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC [MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC — Other O.R. Procedures for Injuries (MDC 21)”
  • DRG 957 — OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC [MS-DRG]: “OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC — Other O.R. Procedures for Multiple Significant Trauma (MDC 24)”
  • and 2 more

MDC crossing · diagnoses (43099)

  • 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 43094 more

Nearest codes

  • 0RH04CZ — Insertion of Pedicle-Based Spinal Stabilization Device into Occipital-cervical Joint, Percutaneous Endoscopic Approach [One axis away]
  • 0RH14CZ — Insertion of Pedicle-Based Spinal Stabilization Device into Cervical Vertebral Joint, Percutaneous Endoscopic Approach [One axis away]
  • 0RH40CZ — Insertion of Pedicle-Based Spinal Stabilization Device into Cervicothoracic Vertebral Joint, Open Approach [One axis away]
  • 0RH43CZ — Insertion of Pedicle-Based Spinal Stabilization Device into Cervicothoracic Vertebral Joint, Percutaneous Approach [One axis away]
  • 0RH443Z — Insertion of Infusion Device into Cervicothoracic Vertebral Joint, Percutaneous Endoscopic Approach [One axis away]
  • 0RH444Z — Insertion of Internal Fixation Device into Cervicothoracic Vertebral Joint, Percutaneous Endoscopic Approach [One axis away]
  • 0RH448Z — Insertion of Spacer into Cervicothoracic Vertebral Joint, Percutaneous Endoscopic Approach [One axis away]
  • 0RH44BZ — Insertion of Interspinous Process Spinal Stabilization Device into Cervicothoracic Vertebral Joint, Percutaneous Endoscopic Approach [One axis away]

Change history

No changes recorded for this code — unchanged since the FY2026 (April) baseline of the change ledger.