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Inpatient Procedure Code

0SP034Z ICD-10-PCS Code: Removal of Internal Fixation Device from Lumbar Vertebral Joint, Percutaneous Approach

Removal of Int Fix from Lum Jt, 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.

PositionValueMeaning
1
Section0

Medical and Surgical

2
Body SystemS

Lower Joints

3
Root OperationP

Removal

Taking out or off a device from a body part

4
Body Part0

Lumbar Vertebral Joint

5
Approach3

Percutaneous

6
Device4

Internal Fixation 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.

0SP334Z — Removal of Internal Fixation Device from Lumbosacral Joint, Percutaneous Approach, 0SP534Z — Removal of Internal Fixation Device from Sacrococcygeal Joint, Percutaneous Approach, 0SP634Z — Removal of Internal Fixation Device from Coccygeal Joint, Percutaneous Approach, 0SP734Z — Removal of Internal Fixation Device from Right Sacroiliac Joint, Percutaneous Approach, 0SP834Z — Removal of Internal Fixation Device from Left Sacroiliac Joint, Percutaneous Approach, 0SP934Z — Removal of Internal Fixation Device from Right Hip Joint, Percutaneous Approach, 0SPB34Z — Removal of Internal Fixation Device from Left Hip Joint, Percutaneous Approach, 0SPC34Z — Removal of Internal Fixation Device from Right Knee Joint, Percutaneous Approach, +11 more

Same operation — other Approach

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

0SP004Z — Removal of Internal Fixation Device from Lumbar Vertebral Joint, Open Approach, 0SP044Z — Removal of Internal Fixation Device from Lumbar Vertebral Joint, Percutaneous Endoscopic Approach, 0SP0X4Z — Removal of Internal Fixation Device from Lumbar Vertebral Joint, External Approach

Same operation — other Device

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

0SP030Z — Removal of Drainage Device from Lumbar Vertebral Joint, Percutaneous Approach, 0SP033Z — Removal of Infusion Device from Lumbar Vertebral Joint, Percutaneous Approach, 0SP037Z — Removal of Autologous Tissue Substitute from Lumbar Vertebral Joint, Percutaneous Approach, 0SP038Z — Removal of Spacer from Lumbar Vertebral Joint, Percutaneous Approach, 0SP03AZ — Removal of Interbody Fusion Device from Lumbar Vertebral Joint, Percutaneous Approach, 0SP03JZ — Removal of Synthetic Substitute from Lumbar Vertebral Joint, Percutaneous Approach, 0SP03KZ — Removal of Nonautologous Tissue Substitute from Lumbar Vertebral Joint, Percutaneous 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.

0SH30CZ — Insertion of Pedicle-Based Spinal Stabilization Device into Lumbosacral Joint, Open Approach, 0SH30DZ — Insertion of Facet Replacement Spinal Stabilization Device into Lumbosacral Joint, Open Approach, 0SH334Z — Insertion of Internal Fixation Device into Lumbosacral Joint, Percutaneous Approach, 0SH33BZ — Insertion of Interspinous Process Spinal Stabilization Device into Lumbosacral Joint, Percutaneous Approach, 0SH33CZ — Insertion of Pedicle-Based Spinal Stabilization Device into Lumbosacral Joint, Percutaneous Approach, 0SH33DZ — Insertion of Facet Replacement Spinal Stabilization Device into Lumbosacral Joint, Percutaneous Approach, 0SH344Z — Insertion of Internal Fixation Device into Lumbosacral Joint, Percutaneous Endoscopic Approach, 0SH34BZ — Insertion of Interspinous Process Spinal Stabilization Device into Lumbosacral Joint, Percutaneous Endoscopic Approach, 0SH34CZ — Insertion of Pedicle-Based Spinal Stabilization Device into Lumbosacral Joint, Percutaneous Endoscopic Approach, 0SH34DZ — Insertion of Facet Replacement Spinal Stabilization Device into Lumbosacral Joint, Percutaneous Endoscopic Approach, 0SS004Z — Reposition Lumbar Vertebral Joint with Internal Fixation Device, Open Approach, 0SS00ZZ — Reposition Lumbar Vertebral Joint, Open Approach, 0SS034Z — Reposition Lumbar Vertebral Joint with Internal Fixation Device, Percutaneous Approach, 0SS03ZZ — Reposition Lumbar Vertebral Joint, Percutaneous Approach, 0SS044Z — Reposition Lumbar Vertebral Joint with Internal Fixation Device, Percutaneous Endoscopic Approach, 0SS04ZZ — Reposition Lumbar Vertebral Joint, Percutaneous Endoscopic Approach, 0SS0X4Z — Reposition Lumbar Vertebral Joint with Internal Fixation Device, External Approach, 0SS304Z — Reposition Lumbosacral Joint with Internal Fixation Device, Open Approach, 0SS30ZZ — Reposition Lumbosacral Joint, Open Approach, 0SS334Z — Reposition Lumbosacral Joint with Internal Fixation Device, Percutaneous Approach, +625 more

Contextual Map

Every relationship of 0SP034Z 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 0SP034Z 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