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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group D006 includes procedures performed to treat tissues using beam radiation in the spinal cord. These ICD-10-PCS codes are used for inpatient documentation when therapeutic radiation is delivered to the spinal cord for malignancy, metastasis, or other pathological conditions requiring targeted radiation. Accurate coding within the ICD-10-PCS D006 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Spinal Cord Beam Radiation Procedure Overview

This procedure group includes beam radiation treatments delivered to the spinal cord and targets the central and peripheral nervous system. Procedures in this group involve directing therapeutic radiation beams at spinal cord tissues to treat malignant or other pathological conditions. Accurate ICD-10-PCS coding of these radiation therapy procedures is important for inpatient reimbursement and for reflecting the clinical intervention provided.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
D	Section	Radiation Therapy
0	Body System	Central and Peripheral Nervous System
0	Operation	Beam Radiation
6	Body Part	Spinal Cord

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

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Spinal Cord Beam Radiation Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
D	Section	Radiation Therapy
0	Body System	Central and Peripheral Nervous System
0	Operation	Beam Radiation
6	Body Part	Spinal Cord

When to Use

Use a code from this group when inpatient beam radiation is delivered specifically to the spinal cord for treatment of malignancy, metastasis, or other spinal cord pathology. Assign these codes to reflect the delivery of therapeutic radiation beams as part of the inpatient course of care.

ICD-10-PCS Codes

8 rows

ICD-10-PCS Code	Description
D0060ZZ	Beam Radiation of Spinal Cord using Photons <1 MeV
D0061ZZ	Beam Radiation of Spinal Cord using Photons 1 - 10 MeV
D0062ZZ	Beam Radiation of Spinal Cord using Photons >10 MeV
D0063Z0	Beam Radiation of Spinal Cord using Electrons, Intraoperative
D0063ZZ	Beam Radiation of Spinal Cord using Electrons
D0064ZZ	Beam Radiation of Spinal Cord using Heavy Particles (Protons,Ions)
D0065ZZ	Beam Radiation of Spinal Cord using Neutrons
D0066ZZ	Beam Radiation of Spinal Cord using Neutron Capture

Typical Clinical Scenarios

An adult patient with known metastatic lung cancer is admitted for worsening thoracic spine pain and neurologic deficits from a documented epidural spinal cord compression at the T6 level. Urgent palliative external beam radiation is planned to the affected spinal cord segment to reduce tumor mass effect and preserve neurologic function; photon beams in the 1–10 MeV range are selected for depth and tissue penetration. Inpatient documentation captures delivery of beam radiation to the spinal cord as part of the acute oncologic treatment. Typical codes: D0061ZZ
A middle-aged patient with a solitary cervical spinal cord hemangioblastoma undergoes a planned inpatient course of stereotactic-like proton beam therapy as part of definitive local tumor control after multidisciplinary review. Because the treatment targets spinal cord tissue with heavy particles (protons) to spare adjacent structures and maximize conformality, the inpatient record reflects beam radiation delivered to the spinal cord using heavy particles. The procedure is documented as part of the scheduled therapeutic plan. Typical codes: D0064ZZ
An elderly patient previously treated with conventional photon radiation for metastatic disease returns with recurrent focal spinal cord tumor progression centered at the lumbar level despite prior therapy. Given prior photon exposure, the team elects neutron capture therapy to attempt re-irradiation with a different particle interaction profile; inpatient treatment is delivered targeting the spinal cord lesion. Documentation notes beam radiation of the spinal cord using neutron capture as the chosen salvage modality. Typical codes: D0066ZZ

Related Codes

D000-BRAIN-BEAM-RADIATION

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

D001-BRAIN-STEM-BEAM-RADIATION

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

D007-PERIPHERAL-NERVE-BEAM-RADIATION

ICD-10-PCS Code For Peripheral Nerve: 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

8 rows

ICD-10-PCS Code	Description
D0060ZZ	Beam Radiation of Spinal Cord using Photons <1 MeV
D0061ZZ	Beam Radiation of Spinal Cord using Photons 1 - 10 MeV
D0062ZZ	Beam Radiation of Spinal Cord using Photons >10 MeV
D0063Z0	Beam Radiation of Spinal Cord using Electrons, Intraoperative
D0063ZZ	Beam Radiation of Spinal Cord using Electrons
D0064ZZ	Beam Radiation of Spinal Cord using Heavy Particles (Protons,Ions)
D0065ZZ	Beam Radiation of Spinal Cord using Neutrons
D0066ZZ	Beam Radiation of Spinal Cord using Neutron Capture

Typical Clinical Scenarios

An adult patient with known metastatic lung cancer is admitted for worsening thoracic spine pain and neurologic deficits from a documented epidural spinal cord compression at the T6 level. Urgent palliative external beam radiation is planned to the affected spinal cord segment to reduce tumor mass effect and preserve neurologic function; photon beams in the 1–10 MeV range are selected for depth and tissue penetration. Inpatient documentation captures delivery of beam radiation to the spinal cord as part of the acute oncologic treatment. Typical codes: D0061ZZ
A middle-aged patient with a solitary cervical spinal cord hemangioblastoma undergoes a planned inpatient course of stereotactic-like proton beam therapy as part of definitive local tumor control after multidisciplinary review. Because the treatment targets spinal cord tissue with heavy particles (protons) to spare adjacent structures and maximize conformality, the inpatient record reflects beam radiation delivered to the spinal cord using heavy particles. The procedure is documented as part of the scheduled therapeutic plan. Typical codes: D0064ZZ
An elderly patient previously treated with conventional photon radiation for metastatic disease returns with recurrent focal spinal cord tumor progression centered at the lumbar level despite prior therapy. Given prior photon exposure, the team elects neutron capture therapy to attempt re-irradiation with a different particle interaction profile; inpatient treatment is delivered targeting the spinal cord lesion. Documentation notes beam radiation of the spinal cord using neutron capture as the chosen salvage modality. Typical codes: D0066ZZ

Related Codes

D000-BRAIN-BEAM-RADIATION

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

D001-BRAIN-STEM-BEAM-RADIATION

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

D007-PERIPHERAL-NERVE-BEAM-RADIATION

ICD-10-PCS Code For Peripheral Nerve: 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 Cord: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Spinal Cord: Procedure Code Group Overview policy alerts

Spinal Cord Beam Radiation Procedure Overview

Code Attributes

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

Sign up for ICD-10-PCS Code For Spinal Cord: Procedure Code Group Overview policy alerts

Spinal Cord Beam Radiation Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

What procedures are included in the Spinal Cord beam radiation ICD-10-PCS group?

What is the ICD-10-PCS section and body system for these procedures?

How should individual procedures in this group be documented in inpatient records?

Which specific ICD-10-PCS codes represent photon beam radiation of the spinal cord?

Are there related DRGs listed for the D006 spinal cord radiation codes?

References

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

What procedures are included in the Spinal Cord beam radiation ICD-10-PCS group?

What is the ICD-10-PCS section and body system for these procedures?

How should individual procedures in this group be documented in inpatient records?

Which specific ICD-10-PCS codes represent photon beam radiation of the spinal cord?

Are there related DRGs listed for the D006 spinal cord radiation codes?

References