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 00FU includes procedures performed to fragment solid material in the spinal canal. These ICD-10-PCS codes are used for inpatient documentation when fragmentation of solid matter within the spinal canal is performed to enable removal or relieve compression. Accurate coding within the ICD-10-PCS 00FU group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Spinal Canal Fragmentation Procedure Overview

Procedures in this group involve fragmentation of solid matter within the spinal canal and target the central nervous system and cranial nerves body system. These ICD-10-PCS codes describe breaking solid material into pieces in the spinal canal to facilitate removal or resolution of obstruction. Accurate coding ensures inpatient documentation reflects the specific fragmentation procedure performed and supports appropriate inpatient reimbursement.

Code Attributes

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

When to Use

Use a code from this group when a clinician intentionally fragments solid material within the spinal canal as part of an inpatient procedure. Select the specific code that matches the approach and any other applicable attributes documented for the fragmentation.

ICD-10-PCS Codes

4 rows

ICD-10-PCS Code	Description
00FU0ZZ	Fragmentation in Spinal Canal, Open Approach
00FU3ZZ	Fragmentation in Spinal Canal, Percutaneous Approach
00FU4ZZ	Fragmentation in Spinal Canal, Percutaneous Endoscopic Approach
00FUXZZ	Fragmentation in Spinal Canal, External Approach

DRG Codes

18 rows

DRG Code	Description
028	Spinal Procedures with MCC
029	Spinal Procedures with CC or Spinal Neurostimulators
030	Spinal Procedures without CC/MCC
518	Back and Neck Procedures Except Spinal Fusion with MCC or Disc Device or Neurostimulator
519	Back and Neck Procedures Except Spinal Fusion with CC
520	Back and Neck Procedures Except Spinal Fusion without CC/MCC
820	Lymphoma and Leukemia with Major O.R. Procedures with MCC
821	Lymphoma and Leukemia with Major O.R. Procedures with CC
822	Lymphoma and Leukemia with Major O.R. Procedures without CC/MCC
826	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCC

Showing 1–10 of 18

Typical Clinical Scenarios

An older adult with progressive lower extremity weakness, bowel/bladder dysfunction, and MRI showing a large calcified intradural-extramedullary lesion compressing the thoracic spinal cord presents for inpatient surgical management; the team plans fragmentation of the calcified mass to relieve cord compression and enable removal during an open intradural procedure. Typical codes: 00FU0ZZ
A middle-aged patient with a history of prior lumbar spine surgery develops an acutely symptomatic arachnoid web with focal intradural calcific adhesions causing severe neurogenic claudication unresponsive to conservative care; during a planned minimally invasive inpatient procedure the surgeon fragments the adherent calcified material percutaneously to decompress the cauda equina. Typical codes: 00FU3ZZ
A younger patient with intradural spinal canal foreign body from migrated bone fragment after trauma develops escalating radicular pain and neurologic deficit; after initial stabilization, an inpatient percutaneous endoscopic procedure is performed to fragment and evacuate the offending solid fragment under direct endoscopic visualization. Typical codes: 00FU4ZZ

ICD-10-PCS Code For Epidural Space Intracranial: Procedure Code Group Overview

00F4-SUBDURAL-SPACE-FRAGMENTATION

ICD-10-PCS Code For Subdural Space: Procedure Code Group Overview

00F5-SUBARACHNOID-SPACE-FRAGMENTATION

ICD-10-PCS Code For Subarachnoid Space: Procedure Code Group Overview

00F6-CEREBRAL-VENTRICLE-FRAGMENTATION

ICD-10-PCS Code For Cerebral Ventricle: 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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Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

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When to Use

ICD-10-PCS Codes

4 rows

ICD-10-PCS Code	Description
00FU0ZZ	Fragmentation in Spinal Canal, Open Approach
00FU3ZZ	Fragmentation in Spinal Canal, Percutaneous Approach
00FU4ZZ	Fragmentation in Spinal Canal, Percutaneous Endoscopic Approach
00FUXZZ	Fragmentation in Spinal Canal, External Approach

DRG Codes

18 rows

DRG Code	Description
028	Spinal Procedures with MCC
029	Spinal Procedures with CC or Spinal Neurostimulators
030	Spinal Procedures without CC/MCC
518	Back and Neck Procedures Except Spinal Fusion with MCC or Disc Device or Neurostimulator
519	Back and Neck Procedures Except Spinal Fusion with CC
520	Back and Neck Procedures Except Spinal Fusion without CC/MCC
820	Lymphoma and Leukemia with Major O.R. Procedures with MCC
821	Lymphoma and Leukemia with Major O.R. Procedures with CC
822	Lymphoma and Leukemia with Major O.R. Procedures without CC/MCC
826	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCC

Showing 1–10 of 18

Typical Clinical Scenarios

An older adult with progressive lower extremity weakness, bowel/bladder dysfunction, and MRI showing a large calcified intradural-extramedullary lesion compressing the thoracic spinal cord presents for inpatient surgical management; the team plans fragmentation of the calcified mass to relieve cord compression and enable removal during an open intradural procedure. Typical codes: 00FU0ZZ
A middle-aged patient with a history of prior lumbar spine surgery develops an acutely symptomatic arachnoid web with focal intradural calcific adhesions causing severe neurogenic claudication unresponsive to conservative care; during a planned minimally invasive inpatient procedure the surgeon fragments the adherent calcified material percutaneously to decompress the cauda equina. Typical codes: 00FU3ZZ
A younger patient with intradural spinal canal foreign body from migrated bone fragment after trauma develops escalating radicular pain and neurologic deficit; after initial stabilization, an inpatient percutaneous endoscopic procedure is performed to fragment and evacuate the offending solid fragment under direct endoscopic visualization. Typical codes: 00FU4ZZ

ICD-10-PCS Code For Epidural Space Intracranial: Procedure Code Group Overview

00F4-SUBDURAL-SPACE-FRAGMENTATION

ICD-10-PCS Code For Subdural Space: Procedure Code Group Overview

00F5-SUBARACHNOID-SPACE-FRAGMENTATION

ICD-10-PCS Code For Subarachnoid Space: Procedure Code Group Overview

00F6-CEREBRAL-VENTRICLE-FRAGMENTATION

ICD-10-PCS Code For Cerebral Ventricle: 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.

OpenPayer

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

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Spinal Canal Fragmentation Procedure Overview

Code Attributes

OpenPayer

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 Fragmentation Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

References

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 Fragmentation 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 Fragmentation Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does the 00FU code group represent?

What are the individual ICD-10-PCS codes in this spinal canal fragmentation group?

In what clinical setting are ICD-10-PCS 00FU codes used?

How does coding within 00FU affect DRG assignment?

What is the defined body part and section for 00FU codes?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does the 00FU code group represent?

What are the individual ICD-10-PCS codes in this spinal canal fragmentation group?

In what clinical setting are ICD-10-PCS 00FU codes used?

How does coding within 00FU affect DRG assignment?

What is the defined body part and section for 00FU codes?

References