ICD-10-PCS Code For Spinal Canal: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 002U includes procedures performed to change devices in the spinal canal. These ICD-10-PCS codes are used for inpatient documentation when an implanted spinal canal device is removed and replaced with an identical or similar device without open surgical exposure. Accurate coding within the ICD-10-PCS 002U group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Spinal Canal Change Procedure Overview

Procedures in this ICD-10-PCS group involve changing an implanted device in the spinal canal and target the central nervous system and cranial nerves body system. These procedures remove an existing device and replace it with an identical or similar device without cutting or puncturing the skin or mucous membranes. Accurate coding of these inpatient procedures ensures the clinical action is captured and supports appropriate case mix and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
0	Body System	Central Nervous System and Cranial Nerves
2	Operation	Change
U	Body Part	Spinal Canal

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ICD-10-PCS Code For Spinal Canal: Procedure Code Group Overview

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Spinal Canal Change Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
0	Body System	Central Nervous System and Cranial Nerves
2	Operation	Change
U	Body Part	Spinal Canal

When to Use

Use a code from this group when an implanted device within the spinal canal is removed and a replacement device that is identical or similar is placed without open surgical exposure. Do not use these codes for initial device insertion, open revision with incision, or procedures that involve different devices.

ICD-10-PCS Codes

2 rows

ICD-10-PCS Code	Description
002UX0Z	Change Drainage Device in Spinal Canal, External Approach
002UXYZ	Change Other Device in Spinal Canal, External Approach

Typical Clinical Scenarios

An elderly patient with a long-standing intrathecal drug-delivery catheter presents with cessation of analgesic effect and external signs of catheter degradation but without skin incision required; inpatient admission is for assessment and device exchange to restore intrathecal therapy using an external approach to remove and replace the drainage/infusion device without open surgical exposure. Typical codes: 002UX0Z
A middle-aged patient hospitalized for worsening neurologic pain after a previously placed intrathecal neuromodulation lead system shows device malfunction on interrogation; because the lead or connector can be accessed and changed percutaneously without creating a new incision, the existing device is removed and an identical or similar external-approach device is placed to re-establish function. Typical codes: 002UXYZ, 002UX0Z
A postoperative inpatient develops cerebrospinal fluid drainage tube occlusion following spinal surgery; the patient requires urgent replacement of the implanted drainage device via a nonopen external approach to re-establish CSF diversion and treat the complication without performing an open revision. Typical codes: 002UX0Z

Related Codes

0020-BRAIN-CHANGE

ICD-10-PCS Code For Brain: Procedure Code Group Overview

002E-CRANIAL-NERVE-CHANGE

ICD-10-PCS Code For Cranial Nerve: Procedure Code Group Overview

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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When to Use

ICD-10-PCS Codes

2 rows

ICD-10-PCS Code	Description
002UX0Z	Change Drainage Device in Spinal Canal, External Approach
002UXYZ	Change Other Device in Spinal Canal, External Approach

Typical Clinical Scenarios

An elderly patient with a long-standing intrathecal drug-delivery catheter presents with cessation of analgesic effect and external signs of catheter degradation but without skin incision required; inpatient admission is for assessment and device exchange to restore intrathecal therapy using an external approach to remove and replace the drainage/infusion device without open surgical exposure. Typical codes: 002UX0Z
A middle-aged patient hospitalized for worsening neurologic pain after a previously placed intrathecal neuromodulation lead system shows device malfunction on interrogation; because the lead or connector can be accessed and changed percutaneously without creating a new incision, the existing device is removed and an identical or similar external-approach device is placed to re-establish function. Typical codes: 002UXYZ, 002UX0Z
A postoperative inpatient develops cerebrospinal fluid drainage tube occlusion following spinal surgery; the patient requires urgent replacement of the implanted drainage device via a nonopen external approach to re-establish CSF diversion and treat the complication without performing an open revision. Typical codes: 002UX0Z

Related Codes

0020-BRAIN-CHANGE

ICD-10-PCS Code For Brain: Procedure Code Group Overview

002E-CRANIAL-NERVE-CHANGE

ICD-10-PCS Code For Cranial Nerve: Procedure Code Group Overview

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-PCS Code For Spinal Canal: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Spinal Canal: Procedure Code Group Overview policy alerts

Spinal Canal Change Procedure Overview

Code Attributes

ICD-10-PCS Code For Spinal Canal: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Spinal Canal: Procedure Code Group Overview policy alerts

Spinal Canal Change Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

What procedures are included in ICD-10-PCS code group 002U?

What is the purpose of coding procedures in the 002U group for inpatient records?

What specific ICD-10-PCS codes are listed in this spinal canal change group?

Which section, body system, and operation does the 002U group belong to?

How does the approach descriptor apply to codes in the 002U group?

References

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

What procedures are included in ICD-10-PCS code group 002U?

What is the purpose of coding procedures in the 002U group for inpatient records?

What specific ICD-10-PCS codes are listed in this spinal canal change group?

Which section, body system, and operation does the 002U group belong to?

How does the approach descriptor apply to codes in the 002U group?

References