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 D026 includes procedures performed to stereotactically deliver radiation to structures in the spinal cord. These ICD-10-PCS codes are used for inpatient documentation when stereotactic radiosurgery is performed on spinal cord lesions or targets requiring precise, high-dose radiation delivery. Accurate coding within the ICD-10-PCS D026 group is essential for proper inpatient reimbursement, as it captures the specific radiosurgical procedure performed and supports clinical documentation accuracy.

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Spinal Cord Stereotactic Radiosurgery Procedure Overview

This procedure group includes stereotactic radiosurgery treatments directed at the spinal cord within the central and peripheral nervous system. Procedures involve precisely targeted, high-dose radiation delivered to spinal cord lesions or targets using stereotactic techniques. Accurate ICD-10-PCS coding of these procedures ensures inpatient records reflect the specific radiosurgical operation and supports appropriate reimbursement and case mix assignment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
D	Section	Radiation Therapy
0	Body System	Central and Peripheral Nervous System
2	Operation	Stereotactic Radiosurgery
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 Stereotactic Radiosurgery Procedure Overview

Code Attributes

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

When to Use

Use a code from this group when stereotactic radiosurgery is performed to target lesions or pathological processes of the spinal cord during an inpatient encounter. Do not use these codes for nonstereotactic radiation procedures or for targets outside the spinal cord.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
D026DZZ	Stereotactic Other Photon Radiosurgery of Spinal Cord
D026HZZ	Stereotactic Particulate Radiosurgery of Spinal Cord
D026JZZ	Stereotactic Gamma Beam Radiosurgery of Spinal Cord

DRG Codes

12 rows

DRG Code	Description
040	Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC
041	Peripheral, Cranial Nerve and Other Nervous System Procedures with CC or Peripheral Neurostimulator
042	Peripheral, Cranial Nerve and Other Nervous System Procedures without CC/MCC
628	Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC
629	Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC
630	Other Endocrine, Nutritional and Metabolic O.R. Procedures without CC/MCC
823	Lymphoma and Non-Acute Leukemia with Other Procedures with MCC
824	Lymphoma and Non-Acute Leukemia with Other Procedures with CC
825	Lymphoma and Non-Acute Leukemia with Other Procedures without CC/MCC
829	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures with CC/MCC

Showing 1–10 of 12

Typical Clinical Scenarios

An elderly patient with a solitary, radiosensitive metastatic lesion centered in the thoracic spinal cord presents with progressive myelopathy and worsening lower extremity weakness over days; after multidisciplinary review and admission for neurological monitoring and steroid management, stereotactic radiosurgery is chosen to deliver a single, high-dose, precisely targeted photon beam to the intramedullary metastasis to maximize local control while minimizing dose to adjacent cord. Typical codes: D026DZZ
A middle-aged patient with a previously treated dural-based spinal tumor causing recurrent focal pain and local progression on MRI is admitted electively for definitive stereotactic particulate (e.g., stereotactic brachytherapy seed implantation or particulate radiosurgical adjunct) treatment to the involved cervical spinal cord region when surgical resection carries high morbidity; the inpatient stay allows for treatment planning, anesthesia, and postprocedural observation. Typical codes: D026HZZ
A patient with prior external beam radiation for a spinal arteriovenous malformation develops a small, well-demarcated residual nidus within the lumbar spinal cord and is admitted urgently after interval hemorrhage; stereotactic gamma beam radiosurgery is performed to ablate the nidus precisely to reduce rebleeding risk while sparing surrounding cord. Typical codes: D026JZZ

Related Codes

D020-BRAIN-STEREOTACTIC-RADIOSURGERY

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

D021-BRAIN-STEM-STEREOTACTIC-RADIOSURGERY

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

D027-PERIPHERAL-NERVE-STEREOTACTIC-RADIOSURGERY

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

3 rows

ICD-10-PCS Code	Description
D026DZZ	Stereotactic Other Photon Radiosurgery of Spinal Cord
D026HZZ	Stereotactic Particulate Radiosurgery of Spinal Cord
D026JZZ	Stereotactic Gamma Beam Radiosurgery of Spinal Cord

DRG Codes

12 rows

DRG Code	Description
040	Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC
041	Peripheral, Cranial Nerve and Other Nervous System Procedures with CC or Peripheral Neurostimulator
042	Peripheral, Cranial Nerve and Other Nervous System Procedures without CC/MCC
628	Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC
629	Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC
630	Other Endocrine, Nutritional and Metabolic O.R. Procedures without CC/MCC
823	Lymphoma and Non-Acute Leukemia with Other Procedures with MCC
824	Lymphoma and Non-Acute Leukemia with Other Procedures with CC
825	Lymphoma and Non-Acute Leukemia with Other Procedures without CC/MCC
829	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures with CC/MCC

Showing 1–10 of 12

Typical Clinical Scenarios

An elderly patient with a solitary, radiosensitive metastatic lesion centered in the thoracic spinal cord presents with progressive myelopathy and worsening lower extremity weakness over days; after multidisciplinary review and admission for neurological monitoring and steroid management, stereotactic radiosurgery is chosen to deliver a single, high-dose, precisely targeted photon beam to the intramedullary metastasis to maximize local control while minimizing dose to adjacent cord. Typical codes: D026DZZ
A middle-aged patient with a previously treated dural-based spinal tumor causing recurrent focal pain and local progression on MRI is admitted electively for definitive stereotactic particulate (e.g., stereotactic brachytherapy seed implantation or particulate radiosurgical adjunct) treatment to the involved cervical spinal cord region when surgical resection carries high morbidity; the inpatient stay allows for treatment planning, anesthesia, and postprocedural observation. Typical codes: D026HZZ
A patient with prior external beam radiation for a spinal arteriovenous malformation develops a small, well-demarcated residual nidus within the lumbar spinal cord and is admitted urgently after interval hemorrhage; stereotactic gamma beam radiosurgery is performed to ablate the nidus precisely to reduce rebleeding risk while sparing surrounding cord. Typical codes: D026JZZ

Related Codes

D020-BRAIN-STEREOTACTIC-RADIOSURGERY

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

D021-BRAIN-STEM-STEREOTACTIC-RADIOSURGERY

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

D027-PERIPHERAL-NERVE-STEREOTACTIC-RADIOSURGERY

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 Stereotactic Radiosurgery 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 Stereotactic Radiosurgery 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 stereotactic radiosurgery of the spinal cord?

What are the individual ICD-10-PCS codes included in the D026 group?

What are the section and attributes associated with ICD-10-PCS group D026?

How does accurate coding within D026 affect inpatient documentation and reimbursement?

Which DRG families are related to procedures in the D026 group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers stereotactic radiosurgery of the spinal cord?

What are the individual ICD-10-PCS codes included in the D026 group?

What are the section and attributes associated with ICD-10-PCS group D026?

How does accurate coding within D026 affect inpatient documentation and reimbursement?

Which DRG families are related to procedures in the D026 group?

References