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 00PU includes procedures performed to remove devices in the spinal canal. These ICD-10-PCS codes are used for inpatient documentation when an implanted or temporarily placed device within the spinal canal is extracted, such as removal of spinal hardware, intrathecal pumps, or catheter components. Accurate coding within the ICD-10-PCS 00PU group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Spinal Canal Removal Procedure Overview

This group includes procedures that involve removing devices from the spinal canal and target the central nervous system and cranial nerves body system. These operations involve extraction of implanted or temporarily placed hardware or other devices located within the spinal canal. Accurate coding ensures the inpatient record reflects the removal procedure performed and supports correct case mix assignment and 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
P	Operation	Removal
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 Removal 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
P	Operation	Removal
U	Body Part	Spinal Canal

When to Use

Use a code from this group when an implanted or temporarily placed device within the spinal canal is removed during an inpatient stay. Select the specific ICD-10-PCS code that matches the device type and the approach used for the removal.

ICD-10-PCS Codes

22 rows

ICD-10-PCS Code	Description
00PU00Z	Removal of Drainage Device from Spinal Canal, Open Approach
00PU02Z	Removal of Monitoring Device from Spinal Canal, Open Approach
00PU03Z	Removal of Infusion Device from Spinal Canal, Open Approach
00PU0JZ	Removal of Synthetic Substitute from Spinal Canal, Open Approach
00PU0MZ	Removal of Neurostimulator Lead from Spinal Canal, Open Approach
00PU0YZ	Removal of Other Device from Spinal Canal, Open Approach
00PU30Z	Removal of Drainage Device from Spinal Canal, Percutaneous Approach
00PU32Z	Removal of Monitoring Device from Spinal Canal, Percutaneous Approach
00PU33Z	Removal of Infusion Device from Spinal Canal, Percutaneous Approach
00PU3JZ	Removal of Synthetic Substitute from Spinal Canal, Percutaneous Approach

Showing 1–10 of 22

DRG Codes

27 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
673	Other Kidney and Urinary Tract Procedures with MCC
674	Other Kidney and Urinary Tract Procedures with CC
675	Other Kidney and Urinary Tract Procedures without CC/MCC
715	Other Male Reproductive System O.R. Procedures for Malignancy with CC/MCC

Showing 1–10 of 27

Typical Clinical Scenarios

An elderly patient is admitted urgently with progressive neurological deficits and imaging showing migration and malfunction of an intrathecal drug infusion catheter tip within the spinal canal causing inadequate analgesia and increasing motor weakness. Because the implanted infusion device component within the spinal canal is the source of symptoms and risk, surgical extraction of the infusion catheter fragment via an open approach is performed during the inpatient stay to relieve compression and permit definitive management. The procedure documented is removal of an infusion device from the spinal canal using an open approach. Typical codes: 00PU03Z
A middle-aged patient with chronic refractory back pain has a scheduled inpatient procedure to explant a previously implanted neurostimulator lead whose lead tip lies within the spinal canal and has eroded surrounding tissue causing infection risk and loss of therapy. The planned operation uses a percutaneous endoscopic technique to remove the neurostimulator lead from the spinal canal, allowing for source control of infection and future hardware management. The procedure performed is removal of a neurostimulator lead from the spinal canal via a percutaneous endoscopic approach. Typical codes: 00PU4MZ
A postoperative patient develops cerebrospinal fluid (CSF) leak and persistent drainage after spinal surgery; imaging identifies a retained drainage catheter segment within the spinal canal that is preventing resolution. During the inpatient stay the retained drainage device is retrieved using a percutaneous (non-endoscopic) approach to stop the CSF leak and reduce infection risk. The documented procedure is removal of a drainage device from the spinal canal via a percutaneous approach. Typical codes: 00PU30Z

Related Codes

00P0-BRAIN-REMOVAL

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

00P2-DURA-MATER-REMOVAL

ICD-10-PCS Code For Dura Mater: Procedure Code Group Overview

00P6-CEREBRAL-VENTRICLE-REMOVAL

ICD-10-PCS Code For Cerebral Ventricle: Procedure Code Group Overview

00PE-CRANIAL-NERVE-REMOVAL

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

00PT-SPINAL-MENINGES-REMOVAL

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

00PV-SPINAL-CORD-REMOVAL

ICD-10-PCS Code For Spinal Cord: 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

22 rows

ICD-10-PCS Code	Description
00PU00Z	Removal of Drainage Device from Spinal Canal, Open Approach
00PU02Z	Removal of Monitoring Device from Spinal Canal, Open Approach
00PU03Z	Removal of Infusion Device from Spinal Canal, Open Approach
00PU0JZ	Removal of Synthetic Substitute from Spinal Canal, Open Approach
00PU0MZ	Removal of Neurostimulator Lead from Spinal Canal, Open Approach
00PU0YZ	Removal of Other Device from Spinal Canal, Open Approach
00PU30Z	Removal of Drainage Device from Spinal Canal, Percutaneous Approach
00PU32Z	Removal of Monitoring Device from Spinal Canal, Percutaneous Approach
00PU33Z	Removal of Infusion Device from Spinal Canal, Percutaneous Approach
00PU3JZ	Removal of Synthetic Substitute from Spinal Canal, Percutaneous Approach

Showing 1–10 of 22

DRG Codes

27 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
673	Other Kidney and Urinary Tract Procedures with MCC
674	Other Kidney and Urinary Tract Procedures with CC
675	Other Kidney and Urinary Tract Procedures without CC/MCC
715	Other Male Reproductive System O.R. Procedures for Malignancy with CC/MCC

Showing 1–10 of 27

Typical Clinical Scenarios

An elderly patient is admitted urgently with progressive neurological deficits and imaging showing migration and malfunction of an intrathecal drug infusion catheter tip within the spinal canal causing inadequate analgesia and increasing motor weakness. Because the implanted infusion device component within the spinal canal is the source of symptoms and risk, surgical extraction of the infusion catheter fragment via an open approach is performed during the inpatient stay to relieve compression and permit definitive management. The procedure documented is removal of an infusion device from the spinal canal using an open approach. Typical codes: 00PU03Z
A middle-aged patient with chronic refractory back pain has a scheduled inpatient procedure to explant a previously implanted neurostimulator lead whose lead tip lies within the spinal canal and has eroded surrounding tissue causing infection risk and loss of therapy. The planned operation uses a percutaneous endoscopic technique to remove the neurostimulator lead from the spinal canal, allowing for source control of infection and future hardware management. The procedure performed is removal of a neurostimulator lead from the spinal canal via a percutaneous endoscopic approach. Typical codes: 00PU4MZ
A postoperative patient develops cerebrospinal fluid (CSF) leak and persistent drainage after spinal surgery; imaging identifies a retained drainage catheter segment within the spinal canal that is preventing resolution. During the inpatient stay the retained drainage device is retrieved using a percutaneous (non-endoscopic) approach to stop the CSF leak and reduce infection risk. The documented procedure is removal of a drainage device from the spinal canal via a percutaneous approach. Typical codes: 00PU30Z

Related Codes

00P0-BRAIN-REMOVAL

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

00P2-DURA-MATER-REMOVAL

ICD-10-PCS Code For Dura Mater: Procedure Code Group Overview

00P6-CEREBRAL-VENTRICLE-REMOVAL

ICD-10-PCS Code For Cerebral Ventricle: Procedure Code Group Overview

00PE-CRANIAL-NERVE-REMOVAL

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

00PT-SPINAL-MENINGES-REMOVAL

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

00PV-SPINAL-CORD-REMOVAL

ICD-10-PCS Code For Spinal Cord: 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 Removal 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 Removal Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation are represented by the ICD-10-PCS 00PU code group?

What approaches are specified within the 00PU code group for removal procedures?

Which device types are encoded in the 00PU code set for spinal canal removal?

How does accurate coding in the 00PU group affect inpatient records and reimbursement?

Which DRG categories may relate to procedures in the 00PU code group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation are represented by the ICD-10-PCS 00PU code group?

What approaches are specified within the 00PU code group for removal procedures?

Which device types are encoded in the 00PU code set for spinal canal removal?

How does accurate coding in the 00PU group affect inpatient records and reimbursement?

Which DRG categories may relate to procedures in the 00PU code group?

References