ICD-10-PCS Code For Cervical Vertebra: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0PR3 includes procedures performed to replace bone in the cervical vertebrae. These ICD-10-PCS codes are used for inpatient documentation when a portion or all of a cervical vertebra is removed and substituted with biological or synthetic material to restore function or support. Accurate coding within the ICD-10-PCS 0PR3 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Cervical Vertebra Replacement Procedure Overview

Procedures in this group involve replacement of all or part of one or more cervical vertebrae with biological or synthetic material and target the upper bones of the spine. These inpatient operations remove and substitute vertebral bone to restore structural support or neurological alignment in the cervical region. Precise ICD-10-PCS coding captures the specific replacement operation and anatomic site, which affects clinical documentation and inpatient reimbursement. Accurate coding supports appropriate case mix grouping and payment for these complex spinal procedures.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
P	Body System	Upper Bones
R	Operation	Replacement
3	Body Part	Cervical Vertebra

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ICD-10-PCS Code For Cervical Vertebra: Procedure Code Group Overview

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Cervical Vertebra Replacement Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
P	Body System	Upper Bones
R	Operation	Replacement
3	Body Part	Cervical Vertebra

When to Use

Use a code from this group when an inpatient procedure involves removing and replacing a cervical vertebra or a portion thereof with graft or prosthetic material. Codes are selected when the primary intent of the operation is replacement rather than repair, fusion, or revision.

ICD-10-PCS Codes

9 rows

ICD-10-PCS Code	Description
0PR307Z	Replacement of Cervical Vertebra with Autologous Tissue Substitute, Open Approach
0PR30JZ	Replacement of Cervical Vertebra with Synthetic Substitute, Open Approach
0PR30KZ	Replacement of Cervical Vertebra with Nonautologous Tissue Substitute, Open Approach
0PR337Z	Replacement of Cervical Vertebra with Autologous Tissue Substitute, Percutaneous Approach
0PR33JZ	Replacement of Cervical Vertebra with Synthetic Substitute, Percutaneous Approach
0PR33KZ	Replacement of Cervical Vertebra with Nonautologous Tissue Substitute, Percutaneous Approach
0PR347Z	Replacement of Cervical Vertebra with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0PR34JZ	Replacement of Cervical Vertebra with Synthetic Substitute, Percutaneous Endoscopic Approach
0PR34KZ	Replacement of Cervical Vertebra with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

DRG Codes

6 rows

DRG Code	Description
515	Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC
516	Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC
517	Other Musculoskeletal System and Connective Tissue O.R. Procedures without CC/MCC
957	Other O.R. Procedures for Multiple Significant Trauma with MCC
958	Other O.R. Procedures for Multiple Significant Trauma with CC
959	Other O.R. Procedures for Multiple Significant Trauma without CC/MCC

Typical Clinical Scenarios

An elderly patient presents after a high-energy cervical spine fracture with comminution of a C4 vertebral body causing spinal instability and progressive myelopathy; imaging shows loss of vertebral body integrity requiring removal of fractured segments and immediate structural substitution to restore alignment and protect the spinal cord. This is an inpatient, often urgent operative case where the vertebral body is replaced with a structural graft or prosthesis to provide anterior column support. Typical codes: 0PR30JZ, 0PR30KZ
A middle-aged patient with a large cervical vertebral tumor (primary or metastatic) has progressive neck pain, focal bone destruction of C3 and impending mechanical collapse; after preoperative planning, the patient is admitted electively for tumor resection with vertebral body replacement using an autologous iliac crest structural graft to reestablish cervical stability. This planned inpatient procedure replaces the diseased vertebral bone with biological material to restore load-bearing function and protect neurologic structures. Typical codes: 0PR307Z
A patient with prior anterior cervical corpectomy and reconstruction presents months later with graft resorption and subsidence leading to recurrent deformity and neurologic compromise; the patient is taken back to the operating room for revision removal of failed material and replacement with a synthetic cervical vertebral spacer and supplemental fixation. This inpatient revision procedure replaces previously placed vertebral material to reestablish alignment and stability. Typical codes: 0PR30JZ

Related Codes

0PR0-STERNUM-REPLACEMENT

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

0PR1-RIBS-1-TO-2-REPLACEMENT

ICD-10-PCS Code For Ribs, 1 To 2: Procedure Code Group Overview

0PR2-RIBS-REPLACEMENT

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

0PR4-THORACIC-VERTEBRA-REPLACEMENT

ICD-10-PCS Code For Thoracic Vertebra: Procedure Code Group Overview

0PR5-SCAPULA-RIGHT-REPLACEMENT

ICD-10-PCS Code For Scapula Right: Procedure Code Group Overview

0PR6-SCAPULA-LEFT-REPLACEMENT

ICD-10-PCS Code For Scapula Left: Procedure Code Group Overview

0PR8-LEFT-GLENOID-CAVITY-REPLACEMENT

ICD-10-PCS Code For Glenoid Cavity, Left: Procedure Code Group Overview

0PR9-CLAVICLE-RIGHT-REPLACEMENT

ICD-10-PCS Code For Clavicle Right: Procedure Code Group Overview

0PRB-CLAVICLE-LEFT-REPLACEMENT

ICD-10-PCS Code For Clavicle Left: Procedure Code Group Overview

0PRC-HUMERAL-HEAD-REPLACEMENT

ICD-10-PCS Code For Humeral Head Right: Procedure Code Group Overview

Showing 1–10 of 25

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

9 rows

ICD-10-PCS Code	Description
0PR307Z	Replacement of Cervical Vertebra with Autologous Tissue Substitute, Open Approach
0PR30JZ	Replacement of Cervical Vertebra with Synthetic Substitute, Open Approach
0PR30KZ	Replacement of Cervical Vertebra with Nonautologous Tissue Substitute, Open Approach
0PR337Z	Replacement of Cervical Vertebra with Autologous Tissue Substitute, Percutaneous Approach
0PR33JZ	Replacement of Cervical Vertebra with Synthetic Substitute, Percutaneous Approach
0PR33KZ	Replacement of Cervical Vertebra with Nonautologous Tissue Substitute, Percutaneous Approach
0PR347Z	Replacement of Cervical Vertebra with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0PR34JZ	Replacement of Cervical Vertebra with Synthetic Substitute, Percutaneous Endoscopic Approach
0PR34KZ	Replacement of Cervical Vertebra with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

DRG Codes

6 rows

DRG Code	Description
515	Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC
516	Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC
517	Other Musculoskeletal System and Connective Tissue O.R. Procedures without CC/MCC
957	Other O.R. Procedures for Multiple Significant Trauma with MCC
958	Other O.R. Procedures for Multiple Significant Trauma with CC
959	Other O.R. Procedures for Multiple Significant Trauma without CC/MCC

Typical Clinical Scenarios

An elderly patient presents after a high-energy cervical spine fracture with comminution of a C4 vertebral body causing spinal instability and progressive myelopathy; imaging shows loss of vertebral body integrity requiring removal of fractured segments and immediate structural substitution to restore alignment and protect the spinal cord. This is an inpatient, often urgent operative case where the vertebral body is replaced with a structural graft or prosthesis to provide anterior column support. Typical codes: 0PR30JZ, 0PR30KZ
A middle-aged patient with a large cervical vertebral tumor (primary or metastatic) has progressive neck pain, focal bone destruction of C3 and impending mechanical collapse; after preoperative planning, the patient is admitted electively for tumor resection with vertebral body replacement using an autologous iliac crest structural graft to reestablish cervical stability. This planned inpatient procedure replaces the diseased vertebral bone with biological material to restore load-bearing function and protect neurologic structures. Typical codes: 0PR307Z
A patient with prior anterior cervical corpectomy and reconstruction presents months later with graft resorption and subsidence leading to recurrent deformity and neurologic compromise; the patient is taken back to the operating room for revision removal of failed material and replacement with a synthetic cervical vertebral spacer and supplemental fixation. This inpatient revision procedure replaces previously placed vertebral material to reestablish alignment and stability. Typical codes: 0PR30JZ

Related Codes

0PR0-STERNUM-REPLACEMENT

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

0PR1-RIBS-1-TO-2-REPLACEMENT

ICD-10-PCS Code For Ribs, 1 To 2: Procedure Code Group Overview

0PR2-RIBS-REPLACEMENT

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

0PR4-THORACIC-VERTEBRA-REPLACEMENT

ICD-10-PCS Code For Thoracic Vertebra: Procedure Code Group Overview

0PR5-SCAPULA-RIGHT-REPLACEMENT

ICD-10-PCS Code For Scapula Right: Procedure Code Group Overview

0PR6-SCAPULA-LEFT-REPLACEMENT

ICD-10-PCS Code For Scapula Left: Procedure Code Group Overview

0PR8-LEFT-GLENOID-CAVITY-REPLACEMENT

ICD-10-PCS Code For Glenoid Cavity, Left: Procedure Code Group Overview

0PR9-CLAVICLE-RIGHT-REPLACEMENT

ICD-10-PCS Code For Clavicle Right: Procedure Code Group Overview

0PRB-CLAVICLE-LEFT-REPLACEMENT

ICD-10-PCS Code For Clavicle Left: Procedure Code Group Overview

0PRC-HUMERAL-HEAD-REPLACEMENT

ICD-10-PCS Code For Humeral Head Right: Procedure Code Group Overview

Showing 1–10 of 25

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 Cervical Vertebra: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Cervical Vertebra: Procedure Code Group Overview policy alerts

Cervical Vertebra Replacement Procedure Overview

Code Attributes

ICD-10-PCS Code For Cervical Vertebra: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Cervical Vertebra: Procedure Code Group Overview policy alerts

Cervical Vertebra Replacement Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS 0PR3 code group?

What is the clinical purpose of procedures coded in 0PR3?

How do approach and material affect the ICD-10-PCS code selection?

Which DRGs are related to procedures in the 0PR3 group?

Why is accurate coding within ICD-10-PCS 0PR3 important for inpatient documentation?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS 0PR3 code group?

What is the clinical purpose of procedures coded in 0PR3?

How do approach and material affect the ICD-10-PCS code selection?

Which DRGs are related to procedures in the 0PR3 group?

Why is accurate coding within ICD-10-PCS 0PR3 important for inpatient documentation?

References