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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0QU0 includes procedures performed to supplement biological or synthetic material to reinforce or augment the lumbar vertebra in the lower bones. These ICD-10-PCS codes are used for inpatient documentation when a clinician places implants, grafts, or other reinforcing materials to support or augment a lumbar vertebra. Accurate coding within the ICD-10-PCS 0QU0 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Lumbar Vertebra Supplement Procedure Overview

This procedure group covers placement of biological or synthetic material that reinforces or augments the lumbar vertebra within the lower bones body system. Procedures in this group involve supplementing the structural integrity or function of a lumbar vertebra using implants, grafts, or synthetic materials. Accurate ICD-10-PCS coding of these procedures supports proper inpatient reimbursement by reflecting the specific operation and anatomical site treated.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
Q	Body System	Lower Bones
U	Operation	Supplement
0	Body Part	Lumbar Vertebra

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

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Lumbar Vertebra Supplement Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
Q	Body System	Lower Bones
U	Operation	Supplement
0	Body Part	Lumbar Vertebra

When to Use

Use a code from this group when a surgical procedure places implants, grafts, or synthetic materials specifically to reinforce or augment a lumbar vertebra. These codes apply when the primary objective of the operation is supplementation of the lumbar vertebra rather than removal or replacement.

ICD-10-PCS Codes

9 rows

ICD-10-PCS Code	Description
0QU007Z	Supplement Lumbar Vertebra with Autologous Tissue Substitute, Open Approach
0QU00JZ	Supplement Lumbar Vertebra with Synthetic Substitute, Open Approach
0QU00KZ	Supplement Lumbar Vertebra with Nonautologous Tissue Substitute, Open Approach
0QU037Z	Supplement Lumbar Vertebra with Autologous Tissue Substitute, Percutaneous Approach
0QU03JZ	Supplement Lumbar Vertebra with Synthetic Substitute, Percutaneous Approach
0QU03KZ	Supplement Lumbar Vertebra with Nonautologous Tissue Substitute, Percutaneous Approach
0QU047Z	Supplement Lumbar Vertebra with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0QU04JZ	Supplement Lumbar Vertebra with Synthetic Substitute, Percutaneous Endoscopic Approach
0QU04KZ	Supplement Lumbar Vertebra with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

DRG Codes

9 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
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries 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

Elderly patient with progressive lumbar vertebral insufficiency and localized collapse from osteoporotic compression fracture presents for inpatient stabilization after worsening axial back pain and early neurologic signs; the surgical team performs an open supplementation procedure using bone graft material to reinforce the collapsed lumbar vertebra and restore structural integrity. Typical codes: 0QU007Z, 0QU00KZ
Middle-aged patient with chronic degenerative lumbar spondylolisthesis scheduled for elective minimally invasive percutaneous augmentation to supplement a weakened lumbar vertebra and support adjacent fusion hardware; the planned procedure places a synthetic bone substitute percutaneously to augment vertebral strength and reduce risk of hardware failure. Typical codes: 0QU03JZ, 0QU03KZ
Patient with prior lumbar surgery who develops a focal vertebral defect and symptomatic instability requiring endoscopic revision to place biologic material into the lumbar vertebra for reinforcement; the team performs a percutaneous endoscopic supplementation using the patient’s own bone graft harvested intraoperatively to augment the vertebra. Typical codes: 0QU047Z

Related Codes

0QU1-SACRUM-SUPPLEMENT

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

0QU2-PELVIC-BONE-RIGHT-SUPPLEMENT

ICD-10-PCS Code For Pelvic Bone Right: Procedure Code Group Overview

0QU3-PELVIC-BONE-LEFT-SUPPLEMENT

ICD-10-PCS Code For Pelvic Bone Left: Procedure Code Group Overview

0QU4-ACETABULUM-RIGHT-SUPPLEMENT

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

0QU5-LEFT-ACETABULUM-SUPPLEMENT

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

0QU6-UPPER-FEMUR-RIGHT-SUPPLEMENT

ICD-10-PCS Code For Upper Femur Right: Procedure Code Group Overview

0QU7-LEFT-UPPER-FEMUR-SUPPLEMENT

ICD-10-PCS Code For Upper Femur, Left: Procedure Code Group Overview

0QU8-FEMORAL-SHAFT-SUPPLEMENT

ICD-10-PCS Code For Femoral Shaft Right: Procedure Code Group Overview

0QU9-LEFT-FEMORAL-SHAFT-SUPPLEMENT

ICD-10-PCS Code For Femoral Shaft, Left: Procedure Code Group Overview

0QUB-LOWER-FEMUR-SUPPLEMENT

ICD-10-PCS Code For Lower Femur: Procedure Code Group Overview

Showing 1–10 of 24

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
0QU007Z	Supplement Lumbar Vertebra with Autologous Tissue Substitute, Open Approach
0QU00JZ	Supplement Lumbar Vertebra with Synthetic Substitute, Open Approach
0QU00KZ	Supplement Lumbar Vertebra with Nonautologous Tissue Substitute, Open Approach
0QU037Z	Supplement Lumbar Vertebra with Autologous Tissue Substitute, Percutaneous Approach
0QU03JZ	Supplement Lumbar Vertebra with Synthetic Substitute, Percutaneous Approach
0QU03KZ	Supplement Lumbar Vertebra with Nonautologous Tissue Substitute, Percutaneous Approach
0QU047Z	Supplement Lumbar Vertebra with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0QU04JZ	Supplement Lumbar Vertebra with Synthetic Substitute, Percutaneous Endoscopic Approach
0QU04KZ	Supplement Lumbar Vertebra with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

DRG Codes

9 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
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries 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

Elderly patient with progressive lumbar vertebral insufficiency and localized collapse from osteoporotic compression fracture presents for inpatient stabilization after worsening axial back pain and early neurologic signs; the surgical team performs an open supplementation procedure using bone graft material to reinforce the collapsed lumbar vertebra and restore structural integrity. Typical codes: 0QU007Z, 0QU00KZ
Middle-aged patient with chronic degenerative lumbar spondylolisthesis scheduled for elective minimally invasive percutaneous augmentation to supplement a weakened lumbar vertebra and support adjacent fusion hardware; the planned procedure places a synthetic bone substitute percutaneously to augment vertebral strength and reduce risk of hardware failure. Typical codes: 0QU03JZ, 0QU03KZ
Patient with prior lumbar surgery who develops a focal vertebral defect and symptomatic instability requiring endoscopic revision to place biologic material into the lumbar vertebra for reinforcement; the team performs a percutaneous endoscopic supplementation using the patient’s own bone graft harvested intraoperatively to augment the vertebra. Typical codes: 0QU047Z

Related Codes

0QU1-SACRUM-SUPPLEMENT

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

0QU2-PELVIC-BONE-RIGHT-SUPPLEMENT

ICD-10-PCS Code For Pelvic Bone Right: Procedure Code Group Overview

0QU3-PELVIC-BONE-LEFT-SUPPLEMENT

ICD-10-PCS Code For Pelvic Bone Left: Procedure Code Group Overview

0QU4-ACETABULUM-RIGHT-SUPPLEMENT

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

0QU5-LEFT-ACETABULUM-SUPPLEMENT

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

0QU6-UPPER-FEMUR-RIGHT-SUPPLEMENT

ICD-10-PCS Code For Upper Femur Right: Procedure Code Group Overview

0QU7-LEFT-UPPER-FEMUR-SUPPLEMENT

ICD-10-PCS Code For Upper Femur, Left: Procedure Code Group Overview

0QU8-FEMORAL-SHAFT-SUPPLEMENT

ICD-10-PCS Code For Femoral Shaft Right: Procedure Code Group Overview

0QU9-LEFT-FEMORAL-SHAFT-SUPPLEMENT

ICD-10-PCS Code For Femoral Shaft, Left: Procedure Code Group Overview

0QUB-LOWER-FEMUR-SUPPLEMENT

ICD-10-PCS Code For Lower Femur: Procedure Code Group Overview

Showing 1–10 of 24

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 Lumbar Vertebra: Procedure Code Group Overview

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

Lumbar Vertebra Supplement Procedure Overview

Code Attributes

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

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

Lumbar Vertebra Supplement Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS section and body system cover lumbar vertebra supplement procedures?

What is the purpose of procedures within ICD-10-PCS code group 0QU0?

Which specific codes in the 0QU0 group represent percutaneous approaches?

How do the codes distinguish between types of material used for supplementation?

Which DRG groups may be associated with procedures coded from 0QU0?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS section and body system cover lumbar vertebra supplement procedures?

What is the purpose of procedures within ICD-10-PCS code group 0QU0?

Which specific codes in the 0QU0 group represent percutaneous approaches?

How do the codes distinguish between types of material used for supplementation?

Which DRG groups may be associated with procedures coded from 0QU0?

References