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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0SP2 includes procedures performed to remove tissue or devices in the lumbar vertebral disc. These ICD-10-PCS codes are used for inpatient documentation when a clinician performs an operation to take out or off material from a lumbar vertebral disc, such as extraction of disc material or removal of an implanted device. Accurate coding within the ICD-10-PCS 0SP2 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Lumbar Vertebral Disc Removal Procedure Overview

This procedure group includes removal operations targeting lumbar vertebral disc structures within the lower joints body system. Procedures in this group involve taking out or off tissue or devices from a lumbar vertebral disc, typically during inpatient surgical care. Accurate ICD-10-PCS coding for these removal procedures ensures the inpatient record reflects the operation performed and supports correct reimbursement and clinical documentation.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
S	Body System	Lower Joints
P	Operation	Removal
2	Body Part	Lumbar Vertebral Disc

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

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Lumbar Vertebral Disc Removal Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
S	Body System	Lower Joints
P	Operation	Removal
2	Body Part	Lumbar Vertebral Disc

When to Use

Use a code from this group when an inpatient procedure involves taking out or off material or an implanted device from a lumbar vertebral disc. Typical clinical circumstances include extraction of herniated disc material or removal of previously implanted spinal hardware at the lumbar disc level.

ICD-10-PCS Codes

17 rows

ICD-10-PCS Code	Description
0SP200Z	Removal of Drainage Device from Lumbar Vertebral Disc, Open Approach
0SP203Z	Removal of Infusion Device from Lumbar Vertebral Disc, Open Approach
0SP207Z	Removal of Autologous Tissue Substitute from Lumbar Vertebral Disc, Open Approach
0SP20JZ	Removal of Synthetic Substitute from Lumbar Vertebral Disc, Open Approach
0SP20KZ	Removal of Nonautologous Tissue Substitute from Lumbar Vertebral Disc, Open Approach
0SP230Z	Removal of Drainage Device from Lumbar Vertebral Disc, Percutaneous Approach
0SP233Z	Removal of Infusion Device from Lumbar Vertebral Disc, Percutaneous Approach
0SP237Z	Removal of Autologous Tissue Substitute from Lumbar Vertebral Disc, Percutaneous Approach
0SP23JZ	Removal of Synthetic Substitute from Lumbar Vertebral Disc, Percutaneous Approach
0SP23KZ	Removal of Nonautologous Tissue Substitute from Lumbar Vertebral Disc, Percutaneous Approach

Showing 1–10 of 17

DRG Codes

12 rows

DRG Code	Description
495	Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with MCC
496	Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with CC
497	Local Excision and Removal of Internal Fixation Devices Except Hip and Femur without CC/MCC
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

Showing 1–10 of 12

Typical Clinical Scenarios

An adult patient presents urgently with acute cauda equina syndrome after a large lumbar disc herniation causing progressive bilateral leg weakness, saddle anesthesia, and urinary retention. Imaging confirms a large fragment of nucleus pulposus compressing the thecal sac at L4-L5 and intraoperative findings require extraction of extruded disc material from the lumbar disc space. A removal operation targeting disc material is performed during the inpatient stay to decompress neural elements and reverse neurological deficits. Typical codes: 0SP237Z
A middle-aged patient undergoes a scheduled inpatient procedure for removal of a previously placed synthetic disc nucleus implant that has migrated and is causing chronic low back pain and focal nerve root irritation. Preoperative evaluation documents failure of the implant to relieve symptoms and imaging shows implant displacement within the lumbar disc space, so an operative removal of the synthetic substitute from the lumbar disc is performed electively. The planned inpatient operation removes the device to alleviate mechanical pain and allow further reconstructive options. Typical codes: 0SP20JZ
A patient with prior lumbar fusion and an implanted intradiscal infusion catheter develops infection at the surgical site with purulent drainage and signs of systemic inflammation. After admission for sepsis workup and IV antibiotics, the decision is made to remove the infected infusion device from the lumbar disc space to control the source of infection. The inpatient procedure involves explantation of the nonfunctioning infusion device via a percutaneous approach to eliminate the nidus of infection. Typical codes: 0SP233Z

Related Codes

0SP0-LUMBAR-VERTEBRAL-JOINT-REMOVAL

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

0SP3-LUMBOSACRAL-JOINT-REMOVAL

ICD-10-PCS Code For Lumbosacral Joint: Procedure Code Group Overview

0SP4-LUMBOSACRAL-DISC-REMOVAL

ICD-10-PCS Code For Lumbosacral Disc: Procedure Code Group Overview

0SP5-SACROCOCCYGEAL-JOINT-REMOVAL

ICD-10-PCS Code For Sacrococcygeal Joint: Procedure Code Group Overview

0SP6-COCCYGEAL-JOINT-TAKING-OUT-COCCYGEAL-JOINT-REMOVAL

ICD-10-PCS Code For Coccygeal Joint: Procedure Code Group Overview

0SP7-SACROILIAC-JOINT-RIGHT-REMOVAL

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

0SP8-LEFT-SACROILIAC-REMOVAL

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

0SP9-HIP-JOINT-RIGHT-REMOVAL

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

0SPA-HIP-JOINT-ACETABULAR-REMOVAL

ICD-10-PCS Code For Right Hip Joint Acetabular Surface: Procedure Code Group Overview

0SPB-HIP-JOINT-LEFT-REMOVAL

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

Showing 1–10 of 29

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

17 rows

ICD-10-PCS Code	Description
0SP200Z	Removal of Drainage Device from Lumbar Vertebral Disc, Open Approach
0SP203Z	Removal of Infusion Device from Lumbar Vertebral Disc, Open Approach
0SP207Z	Removal of Autologous Tissue Substitute from Lumbar Vertebral Disc, Open Approach
0SP20JZ	Removal of Synthetic Substitute from Lumbar Vertebral Disc, Open Approach
0SP20KZ	Removal of Nonautologous Tissue Substitute from Lumbar Vertebral Disc, Open Approach
0SP230Z	Removal of Drainage Device from Lumbar Vertebral Disc, Percutaneous Approach
0SP233Z	Removal of Infusion Device from Lumbar Vertebral Disc, Percutaneous Approach
0SP237Z	Removal of Autologous Tissue Substitute from Lumbar Vertebral Disc, Percutaneous Approach
0SP23JZ	Removal of Synthetic Substitute from Lumbar Vertebral Disc, Percutaneous Approach
0SP23KZ	Removal of Nonautologous Tissue Substitute from Lumbar Vertebral Disc, Percutaneous Approach

Showing 1–10 of 17

DRG Codes

12 rows

DRG Code	Description
495	Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with MCC
496	Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with CC
497	Local Excision and Removal of Internal Fixation Devices Except Hip and Femur without CC/MCC
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

Showing 1–10 of 12

Typical Clinical Scenarios

An adult patient presents urgently with acute cauda equina syndrome after a large lumbar disc herniation causing progressive bilateral leg weakness, saddle anesthesia, and urinary retention. Imaging confirms a large fragment of nucleus pulposus compressing the thecal sac at L4-L5 and intraoperative findings require extraction of extruded disc material from the lumbar disc space. A removal operation targeting disc material is performed during the inpatient stay to decompress neural elements and reverse neurological deficits. Typical codes: 0SP237Z
A middle-aged patient undergoes a scheduled inpatient procedure for removal of a previously placed synthetic disc nucleus implant that has migrated and is causing chronic low back pain and focal nerve root irritation. Preoperative evaluation documents failure of the implant to relieve symptoms and imaging shows implant displacement within the lumbar disc space, so an operative removal of the synthetic substitute from the lumbar disc is performed electively. The planned inpatient operation removes the device to alleviate mechanical pain and allow further reconstructive options. Typical codes: 0SP20JZ
A patient with prior lumbar fusion and an implanted intradiscal infusion catheter develops infection at the surgical site with purulent drainage and signs of systemic inflammation. After admission for sepsis workup and IV antibiotics, the decision is made to remove the infected infusion device from the lumbar disc space to control the source of infection. The inpatient procedure involves explantation of the nonfunctioning infusion device via a percutaneous approach to eliminate the nidus of infection. Typical codes: 0SP233Z

Related Codes

0SP0-LUMBAR-VERTEBRAL-JOINT-REMOVAL

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

0SP3-LUMBOSACRAL-JOINT-REMOVAL

ICD-10-PCS Code For Lumbosacral Joint: Procedure Code Group Overview

0SP4-LUMBOSACRAL-DISC-REMOVAL

ICD-10-PCS Code For Lumbosacral Disc: Procedure Code Group Overview

0SP5-SACROCOCCYGEAL-JOINT-REMOVAL

ICD-10-PCS Code For Sacrococcygeal Joint: Procedure Code Group Overview

0SP6-COCCYGEAL-JOINT-TAKING-OUT-COCCYGEAL-JOINT-REMOVAL

ICD-10-PCS Code For Coccygeal Joint: Procedure Code Group Overview

0SP7-SACROILIAC-JOINT-RIGHT-REMOVAL

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

0SP8-LEFT-SACROILIAC-REMOVAL

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

0SP9-HIP-JOINT-RIGHT-REMOVAL

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

0SPA-HIP-JOINT-ACETABULAR-REMOVAL

ICD-10-PCS Code For Right Hip Joint Acetabular Surface: Procedure Code Group Overview

0SPB-HIP-JOINT-LEFT-REMOVAL

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

Showing 1–10 of 29

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 Vertebral Disc: Procedure Code Group Overview

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

Lumbar Vertebral Disc Removal Procedure Overview

Code Attributes

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

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

Lumbar Vertebral Disc Removal Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers removal procedures from the lumbar vertebral disc?

What are the primary attributes of the 0SP2 code group?

Can you list examples of specific ICD-10-PCS codes in this group?

How does accurate coding within 0SP2 affect inpatient documentation and reimbursement?

Which DRGs are related to procedures in the 0SP2 group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers removal procedures from the lumbar vertebral disc?

What are the primary attributes of the 0SP2 code group?

Can you list examples of specific ICD-10-PCS codes in this group?

How does accurate coding within 0SP2 affect inpatient documentation and reimbursement?

Which DRGs are related to procedures in the 0SP2 group?

References