ICD-10-PCS Code For Thoracolumbar Vertebral Disc: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0RUB includes procedures performed to supplement structures in the thoracolumbar vertebral disc. These ICD-10-PCS codes are used for inpatient documentation when biological or synthetic material is placed to reinforce or augment the thoracolumbar vertebral disc. Accurate coding within the ICD-10-PCS 0RUB group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Thoracolumbar Vertebral Disc Supplement Procedure Overview

This procedure group covers placement of biological or synthetic material to reinforce or augment the function of the thoracolumbar vertebral disc within the musculoskeletal/upper joints body system. Procedures involve inserting implants, grafts, or other materials to support disc structure and spinal stability. Accurate ICD-10-PCS coding of these supplement procedures ensures the inpatient record reflects the augmentation performed and supports appropriate reimbursement.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
R	Body System	Upper Joints
U	Operation	Supplement
B	Body Part	Thoracolumbar Vertebral Disc

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ICD-10-PCS Code For Thoracolumbar Vertebral Disc: Procedure Code Group Overview

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Thoracolumbar Vertebral Disc Supplement Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
R	Body System	Upper Joints
U	Operation	Supplement
B	Body Part	Thoracolumbar Vertebral Disc

When to Use

Use a code from this group when material is implanted or applied specifically to reinforce or augment the thoracolumbar vertebral disc during an inpatient procedure. Select the specific ICD-10-PCS code that reflects the type of material and approach documented in the operative record.

ICD-10-PCS Codes

9 rows

ICD-10-PCS Code	Description
0RUB07Z	Supplement Thoracolumbar Vertebral Disc with Autologous Tissue Substitute, Open Approach
0RUB0JZ	Supplement Thoracolumbar Vertebral Disc with Synthetic Substitute, Open Approach
0RUB0KZ	Supplement Thoracolumbar Vertebral Disc with Nonautologous Tissue Substitute, Open Approach
0RUB37Z	Supplement Thoracolumbar Vertebral Disc with Autologous Tissue Substitute, Percutaneous Approach
0RUB3JZ	Supplement Thoracolumbar Vertebral Disc with Synthetic Substitute, Percutaneous Approach
0RUB3KZ	Supplement Thoracolumbar Vertebral Disc with Nonautologous Tissue Substitute, Percutaneous Approach
0RUB47Z	Supplement Thoracolumbar Vertebral Disc with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0RUB4JZ	Supplement Thoracolumbar Vertebral Disc with Synthetic Substitute, Percutaneous Endoscopic Approach
0RUB4KZ	Supplement Thoracolumbar Vertebral Disc with Nonautologous Tissue Substitute, Percutaneous Endoscopic 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

A middle-aged patient with chronic degenerative disc disease at the thoracolumbar junction (e.g., L1–L2) who has failed conservative therapy and presents electively for surgical augmentation of the affected disc to restore disc height and reduce segmental instability; the planned inpatient procedure uses a synthetic intervertebral implant placed via an open posterior approach to reinforce the disc space. Typical codes: 0RUB0JZ
An elderly patient hospitalized after progressive neurologic claudication and imaging showing focal disc collapse with loss of segmental support at the thoracolumbar level; during the urgent inpatient procedure, the surgeon performs percutaneous placement of autologous bone graft material into the disc space to supplement and support the segment as part of a decompression and stabilization strategy. Typical codes: 0RUB37Z
A patient who previously underwent percutaneous synthetic disc augmentation at the thoracolumbar disc presents with persistent pain and implant subsidence requiring revision; the operative plan in the inpatient setting is a percutaneous endoscopic re-supplementation using nonautologous (allograft or biologic) tissue substitute to augment the disc and address the complication. Typical codes: 0RUB4KZ

Related Codes

0RU0-OCCIPITAL-CERVICAL-SUPPLEMENT

ICD-10-PCS Code For Occipital-Cervical Joint: Procedure Code Group Overview

0RU1-CERVICAL-VERTEBRAL-JOINT-SUPPLEMENT

ICD-10-PCS Code For Cervical Vertebral Joint: Procedure Code Group Overview

0RU3-CERVICAL-VERTEBRAL-DISC-SUPPLEMENT

ICD-10-PCS Code For Cervical Vertebral Disc: Procedure Code Group Overview

0RU4-CERVICOTHORACIC-VERTEBRAL-JOINT-SUPPLEMENT

ICD-10-PCS Code For Cervicothoracic Vertebral Joint: Procedure Code Group Overview

0RU5-CERVICOTHORACIC-VERTEBRAL-DISC-SUPPLEMENT

ICD-10-PCS Code For Cervicothoracic Vertebral Disc: Procedure Code Group Overview

0RU6-THORACIC-VERTEBRAL-JOINT-SUPPLEMENT

ICD-10-PCS Code For Thoracic Vertebral Joint: Procedure Code Group Overview

0RU9-THORACIC-VERTEBRAL-DISC-SUPPLEMENT

ICD-10-PCS Code For Thoracic Vertebral Disc: Procedure Code Group Overview

0RUA-THORACOLUMBAR-VERTEBRAL-JOINT-SUPPLEMENT

ICD-10-PCS Code For Thoracolumbar Vertebral Joint: Procedure Code Group Overview

0RUC-TEMPOROMANDIBULAR-JOINT-RIGHT-SUPPLEMENT

ICD-10-PCS Code For Temporomandibular Joint, Right: Procedure Code Group Overview

0RUD-TEMPOROMANDIBULAR-JOINT-LEFT-SUPPLEMENT

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

Showing 1–10 of 28

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
0RUB07Z	Supplement Thoracolumbar Vertebral Disc with Autologous Tissue Substitute, Open Approach
0RUB0JZ	Supplement Thoracolumbar Vertebral Disc with Synthetic Substitute, Open Approach
0RUB0KZ	Supplement Thoracolumbar Vertebral Disc with Nonautologous Tissue Substitute, Open Approach
0RUB37Z	Supplement Thoracolumbar Vertebral Disc with Autologous Tissue Substitute, Percutaneous Approach
0RUB3JZ	Supplement Thoracolumbar Vertebral Disc with Synthetic Substitute, Percutaneous Approach
0RUB3KZ	Supplement Thoracolumbar Vertebral Disc with Nonautologous Tissue Substitute, Percutaneous Approach
0RUB47Z	Supplement Thoracolumbar Vertebral Disc with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0RUB4JZ	Supplement Thoracolumbar Vertebral Disc with Synthetic Substitute, Percutaneous Endoscopic Approach
0RUB4KZ	Supplement Thoracolumbar Vertebral Disc with Nonautologous Tissue Substitute, Percutaneous Endoscopic 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

A middle-aged patient with chronic degenerative disc disease at the thoracolumbar junction (e.g., L1–L2) who has failed conservative therapy and presents electively for surgical augmentation of the affected disc to restore disc height and reduce segmental instability; the planned inpatient procedure uses a synthetic intervertebral implant placed via an open posterior approach to reinforce the disc space. Typical codes: 0RUB0JZ
An elderly patient hospitalized after progressive neurologic claudication and imaging showing focal disc collapse with loss of segmental support at the thoracolumbar level; during the urgent inpatient procedure, the surgeon performs percutaneous placement of autologous bone graft material into the disc space to supplement and support the segment as part of a decompression and stabilization strategy. Typical codes: 0RUB37Z
A patient who previously underwent percutaneous synthetic disc augmentation at the thoracolumbar disc presents with persistent pain and implant subsidence requiring revision; the operative plan in the inpatient setting is a percutaneous endoscopic re-supplementation using nonautologous (allograft or biologic) tissue substitute to augment the disc and address the complication. Typical codes: 0RUB4KZ

Related Codes

0RU0-OCCIPITAL-CERVICAL-SUPPLEMENT

ICD-10-PCS Code For Occipital-Cervical Joint: Procedure Code Group Overview

0RU1-CERVICAL-VERTEBRAL-JOINT-SUPPLEMENT

ICD-10-PCS Code For Cervical Vertebral Joint: Procedure Code Group Overview

0RU3-CERVICAL-VERTEBRAL-DISC-SUPPLEMENT

ICD-10-PCS Code For Cervical Vertebral Disc: Procedure Code Group Overview

0RU4-CERVICOTHORACIC-VERTEBRAL-JOINT-SUPPLEMENT

ICD-10-PCS Code For Cervicothoracic Vertebral Joint: Procedure Code Group Overview

0RU5-CERVICOTHORACIC-VERTEBRAL-DISC-SUPPLEMENT

ICD-10-PCS Code For Cervicothoracic Vertebral Disc: Procedure Code Group Overview

0RU6-THORACIC-VERTEBRAL-JOINT-SUPPLEMENT

ICD-10-PCS Code For Thoracic Vertebral Joint: Procedure Code Group Overview

0RU9-THORACIC-VERTEBRAL-DISC-SUPPLEMENT

ICD-10-PCS Code For Thoracic Vertebral Disc: Procedure Code Group Overview

0RUA-THORACOLUMBAR-VERTEBRAL-JOINT-SUPPLEMENT

ICD-10-PCS Code For Thoracolumbar Vertebral Joint: Procedure Code Group Overview

0RUC-TEMPOROMANDIBULAR-JOINT-RIGHT-SUPPLEMENT

ICD-10-PCS Code For Temporomandibular Joint, Right: Procedure Code Group Overview

0RUD-TEMPOROMANDIBULAR-JOINT-LEFT-SUPPLEMENT

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

Showing 1–10 of 28

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 Thoracolumbar Vertebral Disc: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Thoracolumbar Vertebral Disc: Procedure Code Group Overview policy alerts

Thoracolumbar Vertebral Disc Supplement Procedure Overview

Code Attributes

ICD-10-PCS Code For Thoracolumbar Vertebral Disc: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Thoracolumbar Vertebral Disc: Procedure Code Group Overview policy alerts

Thoracolumbar Vertebral Disc Supplement Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does ICD-10-PCS code group `0RUB` represent?

What types of materials are represented in the `0RUB` code set?

Which approaches to the thoracolumbar vertebral disc are coded within `0RUB`?

How does accurate ICD-10-PCS coding within `0RUB` affect inpatient documentation and reimbursement?

What DRG categories may be associated with procedures coded in the `0RUB` group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does ICD-10-PCS code group `0RUB` represent?

What types of materials are represented in the `0RUB` code set?

Which approaches to the thoracolumbar vertebral disc are coded within `0RUB`?

How does accurate ICD-10-PCS coding within `0RUB` affect inpatient documentation and reimbursement?

What DRG categories may be associated with procedures coded in the `0RUB` group?

References