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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group XKUD includes procedures performed to supplement bursae and ligaments with biological or synthetic material in the lower spine. These ICD-10-PCS codes are used for inpatient documentation when a posterior vertebral tether is placed via an open approach to reinforce or augment lower spine soft tissues. Accurate coding within the ICD-10-PCS XKUD group is essential for proper inpatient reimbursement, as it captures the supplement procedure performed and supports clinical documentation accuracy.

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Lower Spine Supplement Procedure Overview

Procedures in this group involve supplementing bursae and ligaments of the lower spine with biological or synthetic material, using a posterior vertebral tether via an open approach. These procedures target the muscles, tendons, bursae and ligaments body system in the lower spine and are performed to reinforce or augment the function of those structures. Accurate ICD-10-PCS coding ensures inpatient documentation reflects the specific supplement operation and supports appropriate reimbursement for the complexity of the procedure.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
K	Body System	Muscles, Tendons, Bursae and Ligaments
U	Operation	Supplement
D	Body Part	Lower Spine Bursa and Ligament

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

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Lower Spine Supplement Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
K	Body System	Muscles, Tendons, Bursae and Ligaments
U	Operation	Supplement
D	Body Part	Lower Spine Bursa and Ligament

When to Use

Use a code from this group when an open posterior approach is used to place a vertebral tether that supplements bursae and ligament structures in the lower spine with reinforcing material. Do not use this group for procedures that do not involve supplementation or that target other body systems or different spine regions.

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
XKUD068	Supplement Lower Spine Bursa and Ligament with Posterior Vertebral Tether, Open Approach, New Technology Group 8

DRG Codes

3 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

Typical Clinical Scenarios

A 16-year-old adolescent with progressive idiopathic lumbar scoliosis causing significant coronal imbalance and pain is admitted electively for posterior spinal stabilization; the surgical plan includes placing a posterior vertebral tether to supplement the lower spine bursae and ligaments to modulate growth and provide mechanical reinforcement while preserving motion. The procedure is performed via an open posterior approach to augment soft-tissue support in the lower spine. Typical codes: XKUD068
A 55-year-old patient with chronic lower lumbar instability and recurrent soft-tissue laxity after failed conservative therapy presents for planned reconstructive surgery; the surgeon elects an open posterior vertebral tether placement to supplement damaged lower spine bursae and ligaments and restore segmental stability. The patient is admitted for inpatient postoperative monitoring following the open supplement procedure. Typical codes: XKUD068
A 42-year-old who previously underwent a posterior lumbar decompression returns with progressive postoperative destabilization and symptomatic ligamentous insufficiency; during an urgent inpatient revision, the team performs an open posterior vertebral tether supplement of the lower spine bursae and ligaments to augment the compromised soft-tissue structures. Typical codes: XKUD068

Related Codes

XKUC-UPPER-SPINE-SUPPLEMENT

ICD-10-PCS Code For Upper Spine: 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

1 rows

ICD-10-PCS Code	Description
XKUD068	Supplement Lower Spine Bursa and Ligament with Posterior Vertebral Tether, Open Approach, New Technology Group 8

DRG Codes

3 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

Typical Clinical Scenarios

A 16-year-old adolescent with progressive idiopathic lumbar scoliosis causing significant coronal imbalance and pain is admitted electively for posterior spinal stabilization; the surgical plan includes placing a posterior vertebral tether to supplement the lower spine bursae and ligaments to modulate growth and provide mechanical reinforcement while preserving motion. The procedure is performed via an open posterior approach to augment soft-tissue support in the lower spine. Typical codes: XKUD068
A 55-year-old patient with chronic lower lumbar instability and recurrent soft-tissue laxity after failed conservative therapy presents for planned reconstructive surgery; the surgeon elects an open posterior vertebral tether placement to supplement damaged lower spine bursae and ligaments and restore segmental stability. The patient is admitted for inpatient postoperative monitoring following the open supplement procedure. Typical codes: XKUD068
A 42-year-old who previously underwent a posterior lumbar decompression returns with progressive postoperative destabilization and symptomatic ligamentous insufficiency; during an urgent inpatient revision, the team performs an open posterior vertebral tether supplement of the lower spine bursae and ligaments to augment the compromised soft-tissue structures. Typical codes: XKUD068

Related Codes

XKUC-UPPER-SPINE-SUPPLEMENT

ICD-10-PCS Code For Upper Spine: 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 Lower Spine: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Lower Spine: Procedure Code Group Overview policy alerts

Lower Spine Supplement Procedure Overview

Code Attributes

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

Sign up for ICD-10-PCS Code For Lower Spine: Procedure Code Group Overview policy alerts

Lower Spine Supplement Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code represents supplementing the lower spine bursae and ligaments with a posterior vertebral tether via open approach?

What body system and operation does the `XKUD068` code describe?

In what clinical setting are procedures coded with `XKUD068` documented for reimbursement?

What approach and device are specified by the code `XKUD068`?

Which DRG categories are related to procedures coded in this group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code represents supplementing the lower spine bursae and ligaments with a posterior vertebral tether via open approach?

What body system and operation does the `XKUD068` code describe?

In what clinical setting are procedures coded with `XKUD068` documented for reimbursement?

What approach and device are specified by the code `XKUD068`?

Which DRG categories are related to procedures coded in this group?

References