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Inpatient Procedure Code

0RPA0AZ ICD-10-PCS Code: Removal of Interbody Fusion Device from Thoracolumbar Vertebral Joint, Open Approach

Removal of Intbd Fus Dev from T-lum Jt, 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.

PositionValueMeaning
1
Section0

Medical and Surgical

2
Body SystemR

Upper Joints

3
Root OperationP

Removal

Taking out or off a device from a body part

4
Body PartA

Thoracolumbar Vertebral Joint

5
Approach0

Open

6
DeviceA

Interbody Fusion 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 3 MS-DRGs:

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.

0RP00AZ — Removal of Interbody Fusion Device from Occipital-cervical Joint, Open Approach, 0RP10AZ — Removal of Interbody Fusion Device from Cervical Vertebral Joint, Open Approach, 0RP40AZ — Removal of Interbody Fusion Device from Cervicothoracic Vertebral Joint, Open Approach, 0RP60AZ — Removal of Interbody Fusion Device from Thoracic Vertebral Joint, Open Approach

Same operation — other Approach

Same table and root operation, differing only in the approach character.

0RPA3AZ — Removal of Interbody Fusion Device from Thoracolumbar Vertebral Joint, Percutaneous Approach, 0RPA4AZ — Removal of Interbody Fusion Device from Thoracolumbar Vertebral Joint, Percutaneous Endoscopic Approach

Same operation — other Device

Same table and root operation, differing only in the device character.

0RPA00Z — Removal of Drainage Device from Thoracolumbar Vertebral Joint, Open Approach, 0RPA03Z — Removal of Infusion Device from Thoracolumbar Vertebral Joint, Open Approach, 0RPA04Z — Removal of Internal Fixation Device from Thoracolumbar Vertebral Joint, Open Approach, 0RPA07Z — Removal of Autologous Tissue Substitute from Thoracolumbar Vertebral Joint, Open Approach, 0RPA08Z — Removal of Spacer from Thoracolumbar Vertebral Joint, Open Approach, 0RPA0JZ — Removal of Synthetic Substitute from Thoracolumbar Vertebral Joint, Open Approach, 0RPA0KZ — Removal of Nonautologous Tissue Substitute from Thoracolumbar Vertebral Joint, Open Approach

Same procedure category (CCSR), other tables

AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Spine fusion (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.

0RHA0CZ — Insertion of Pedicle-Based Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Open Approach, 0RHA0DZ — Insertion of Facet Replacement Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Open Approach, 0RHA34Z — Insertion of Internal Fixation Device into Thoracolumbar Vertebral Joint, Percutaneous Approach, 0RHA3BZ — Insertion of Interspinous Process Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Percutaneous Approach, 0RHA3CZ — Insertion of Pedicle-Based Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Percutaneous Approach, 0RHA3DZ — Insertion of Facet Replacement Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Percutaneous Approach, 0RHA44Z — Insertion of Internal Fixation Device into Thoracolumbar Vertebral Joint, Percutaneous Endoscopic Approach, 0RHA4BZ — Insertion of Interspinous Process Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Percutaneous Endoscopic Approach, 0RHA4CZ — Insertion of Pedicle-Based Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Percutaneous Endoscopic Approach, 0RHA4DZ — Insertion of Facet Replacement Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Percutaneous Endoscopic Approach, 0RS004Z — Reposition Occipital-cervical Joint with Internal Fixation Device, Open Approach, 0RS00ZZ — Reposition Occipital-cervical Joint, Open Approach, 0RS034Z — Reposition Occipital-cervical Joint with Internal Fixation Device, Percutaneous Approach, 0RS03ZZ — Reposition Occipital-cervical Joint, Percutaneous Approach, 0RS044Z — Reposition Occipital-cervical Joint with Internal Fixation Device, Percutaneous Endoscopic Approach, 0RS04ZZ — Reposition Occipital-cervical Joint, Percutaneous Endoscopic Approach, 0RS0X4Z — Reposition Occipital-cervical Joint with Internal Fixation Device, External Approach, 0RS104Z — Reposition Cervical Vertebral Joint with Internal Fixation Device, Open Approach, 0RS10ZZ — Reposition Cervical Vertebral Joint, Open Approach, 0RS134Z — Reposition Cervical Vertebral Joint with Internal Fixation Device, Percutaneous Approach, +604 more

Contextual Map

Every relationship of 0RPA0AZ 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 0RPA0AZ with these 5 related codes in Claim Check

PCS table

MS-DRG participation

Clinical classification (CCSR)

  • MST013 — Spine fusion[CCSR category]: “Spine fusion — Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1

MDC crossing · diagnoses (25341)

  • 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
  • A02.23 — Salmonella arthritis[Same-MDC diagnosis]: “Salmonella arthritis — grouped in MDC 08, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
  • A02.24 — Salmonella osteomyelitis[Same-MDC diagnosis]: “Salmonella osteomyelitis — grouped in MDC 08, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
  • A18.01 — Tuberculosis of spine[Same-MDC diagnosis]: “Tuberculosis of spine — grouped in MDC 08, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
  • A18.02 — Tuberculous arthritis of other joints[Same-MDC diagnosis]: “Tuberculous arthritis of other joints — grouped in MDC 08, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
  • A18.03 — Tuberculosis of other bones[Same-MDC diagnosis]: “Tuberculosis of other bones — grouped in MDC 08, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
  • and 25336 more

Nearest codes

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