XRH20GB ICD-10-PCS Code: Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into 2 or more Cervical Vertebral Joints, Open Approach, New Technology Group 11
Insert Pedcl MoRe Stblz in 2-6 C Jt, Open, New Tech 11
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 | SectionX | New Technology |
| 2 | Body SystemR | 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 Part2 | Cervical Vertebral Joints, 2 or more |
| 5 | Approach0 | Open |
| 6 | Device / Substance / TechnologyG | Molybdenum Rhenium Alloy Spinal Stabilization Device |
| 7 | New Technology GroupB | New Technology Group 11 |
MS-DRG Grouper Relationships (FY2027)
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 10 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
- 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.
XRH10GB — Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into Cervical Vertebral Joint, Open Approach, New Technology Group 11, XRH40GB — Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into Cervicothoracic Vertebral Joint, Open Approach, New Technology Group 11, XRH60GB — Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into Thoracic Vertebral Joint, Open Approach, New Technology Group 11
Same operation — other Approach
Same table and root operation, differing only in the approach character.
XRH23GB — Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into 2 or more Cervical Vertebral Joints, Percutaneous Approach, New Technology Group 11, XRH24GB — Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into 2 or more Cervical Vertebral Joints, Percutaneous Endoscopic Approach, New Technology Group 11
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.
XRG24RB — Fusion of 2 or more Cervical Vertebral Joints using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 11, XRG40RB — Fusion of Cervicothoracic Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 11, XRG43RB — Fusion of Cervicothoracic Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 11, XRG44RB — Fusion of Cervicothoracic Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 11, XRGA0EA — Fusion of Thoracolumbar Vertebral Joint using Facet Joint Fusion Device, Paired Titanium Cages, Open Approach, New Technology Group 10, XRGA0R7 — Fusion of Thoracolumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7, XRGA3R7 — Fusion of Thoracolumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 7, XRGA4R7 — Fusion of Thoracolumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7, XRGB0EA — Fusion of Lumbar Vertebral Joint using Facet Joint Fusion Device, Paired Titanium Cages, Open Approach, New Technology Group 10, XRGB0R7 — Fusion of Lumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7, XRGB3R7 — Fusion of Lumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 7, XRGB4R7 — Fusion of Lumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7, XRGC0EA — Fusion of 2 or more Lumbar Vertebral Joints using Facet Joint Fusion Device, Paired Titanium Cages, Open Approach, New Technology Group 10, XRGC0R7 — Fusion of 2 or more Lumbar Vertebral Joints using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7, XRGC3R7 — Fusion of 2 or more Lumbar Vertebral Joints using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 7, XRGC4R7 — Fusion of 2 or more Lumbar Vertebral Joints using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7, XRGD0EA — Fusion of Lumbosacral Joint using Facet Joint Fusion Device, Paired Titanium Cages, Open Approach, New Technology Group 10, XRGD0R7 — Fusion of Lumbosacral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7, XRGD3R7 — Fusion of Lumbosacral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 7, XRGD4R7 — Fusion of Lumbosacral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7, +606 more
Contextual Map
Every relationship of XRH20GB 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 XRH20GB with these 5 related codes in Claim Check
PCS table
- XRH[PCS table]— CMS ICD-10-PCS tables
- New Technology — Section: New Technology[Section]: “New Technology”— CMS ICD-10-PCS tables
- Joints — Body System: Joints[Body System]: “Joints”— CMS ICD-10-PCS tables
- Insertion — Operation: Insertion[Operation]: “Insertion”— CMS ICD-10-PCS tables
MS-DRG participation (10)
- DRG 028 — SPINAL PROCEDURES WITH MCC[MS-DRG]: “SPINAL PROCEDURES WITH MCC — Spinal Procedures (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 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) · FY2027
- 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) · FY2027
- 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) · FY2027
- 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) · FY2027
- 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) · FY2027
- 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)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 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)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- and 2 more
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 (43154)
- 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 · FY2027
- 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 · FY2027
- 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) · FY2027
- 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) · FY2027
- 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) · FY2027
- 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) · FY2027
- 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) · FY2027
- and 43149 more
Nearest codes
- XRH10GB — Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into Cervical Vertebral Joint, Open Approach, New Technology Group 11[One axis away]— CMS ICD-10-PCS tables
- XRH23GB — Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into 2 or more Cervical Vertebral Joints, Percutaneous Approach, New Technology Group 11[One axis away]— CMS ICD-10-PCS tables
- XRH24GB — Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into 2 or more Cervical Vertebral Joints, Percutaneous Endoscopic Approach, New Technology Group 11[One axis away]— CMS ICD-10-PCS tables
- XRH40GB — Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into Cervicothoracic Vertebral Joint, Open Approach, New Technology Group 11[One axis away]— CMS ICD-10-PCS tables
- XRH60GB — Insertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into Thoracic Vertebral Joint, Open Approach, New Technology Group 11[One axis away]— CMS ICD-10-PCS tables
Change history
- FY2026 — Added to the code set[Change history]— CMS release files (code change ledger) · icd10pcs-fy2026oct
Change history
- FY2026 — October 1, 2025Added to the code setInsertion of Molybdenum Rhenium Alloy Spinal Stabilization Device into 2 or more Cervical Vertebral Joints, Open Approach, New Technology Group 11FY2026 changes
Read from: CMS ICD-10-PCS code tables, index and definitions — FY2027; CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44; 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 · How MedCoder verifies its implementation
Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources