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ICD-10-PCS/0SW/0SW20JZ
Inpatient Procedure Code

0SW20JZ

Revision of Synthetic Substitute in Lumbar Vertebral Disc, Open Approach

Revision of Synthetic Substitute in Lum Disc, 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 SystemS

Lower Joints

3
Root OperationW

Revision

Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device

4
Body Part2

Lumbar Vertebral Disc

5
Approach0

Open

6
DeviceJ

Synthetic Substitute

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 12 MS-DRGs:

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

Contextual Map

Every relationship of 0SW20JZ 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

  • 0SW[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 (12)

  • 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 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)”
  • 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)”
  • 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)”
  • and 4 more

Nearest codes

  • 0SW00JZ — Revision of Synthetic Substitute in Lumbar Vertebral Joint, Open Approach [One axis away]
  • 0SW200Z — Revision of Drainage Device in Lumbar Vertebral Disc, Open Approach [One axis away]
  • 0SW203Z — Revision of Infusion Device in Lumbar Vertebral Disc, Open Approach [One axis away]
  • 0SW207Z — Revision of Autologous Tissue Substitute in Lumbar Vertebral Disc, Open Approach [One axis away]
  • 0SW20KZ — Revision of Nonautologous Tissue Substitute in Lumbar Vertebral Disc, Open Approach [One axis away]
  • 0SW23JZ — Revision of Synthetic Substitute in Lumbar Vertebral Disc, Percutaneous Approach [One axis away]
  • 0SW24JZ — Revision of Synthetic Substitute in Lumbar Vertebral Disc, Percutaneous Endoscopic Approach [One axis away]
  • 0SW2XJZ — Revision of Synthetic Substitute in Lumbar Vertebral Disc, External Approach [One axis away]

Change history

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