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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group XRHB includes procedures performed to insert nonbiological appliances that monitor, assist, perform, or prevent physiological functions in the lumbar vertebral joint. These ICD-10-PCS codes are used for inpatient documentation when a device is placed into a lumbar vertebral joint to provide monitoring or functional support without replacing the joint. Accurate coding within the ICD-10-PCS XRHB group is essential for proper inpatient reimbursement, as it captures the specific insertion procedure performed and determines appropriate case mix and payment.

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Lumbar Vertebral Joint Insertion Procedure Overview

Procedures in this ICD-10-PCS group involve the insertion of nonbiological appliances into the lumbar vertebral joint to monitor, assist, perform, or prevent a physiological function without replacing the joint. These procedures target the joints of the lumbar spine and are coded in the New Technology section. Accurate coding ensures the inpatient record reflects the specific insertion procedure performed and supports appropriate reimbursement and case mix assignment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
R	Body System	Joints
H	Operation	Insertion
B	Body Part	Lumbar Vertebral Joint

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

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Lumbar Vertebral Joint Insertion Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
R	Body System	Joints
H	Operation	Insertion
B	Body Part	Lumbar Vertebral Joint

When to Use

Use a code from this group when an appliance is inserted into a lumbar vertebral joint to provide monitoring or functional assistance and the joint itself is not being replaced. These codes apply when the primary operation is insertion of a nonbiological device into the lumbar vertebral joint for therapeutic or monitoring purposes.

ICD-10-PCS Codes

4 rows

ICD-10-PCS Code	Description
XRHB018	Insertion of Posterior Spinal Motion Preservation Device into Lumbar Vertebral Joint, Open Approach, New Technology Group 8
XRHB0FA	Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Lumbar Vertebral Joint, Open Approach, New Technology Group 10
XRHB3FA	Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Lumbar Vertebral Joint, Percutaneous Approach, New Technology Group 10
XRHB4FA	Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Lumbar Vertebral Joint, Percutaneous Endoscopic Approach, New Technology Group 10

DRG Codes

12 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
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

A 62-year-old patient with chronic lumbar facet-mediated back pain refractory to conservative therapy undergoes a planned open insertion of a posterior spinal motion preservation device into a lumbar vertebral joint to stabilize motion segments while preserving joint function. The goal of the inpatient procedure is to reduce pain and maintain segmental mobility after failure of injections and physical therapy. The operation is elective and performed under general anesthesia with open exposure of the affected lumbar joint. Typical codes: XRHB018
A 48-year-old patient presents after a traumatic lumbar joint injury with persistent mechanical instability and neurologic claudication; after imaging and failure of nonoperative stabilization, a pedicle-based carbon/PEEK spinal stabilization device is inserted into the lumbar vertebral joint via a percutaneous approach to restore stability and decompress neural elements. The minimally invasive percutaneous insertion is performed during the inpatient stay due to the acuity of symptoms and need for monitored postoperative care. The procedure targets the lumbar joint and uses a pedicle-based carbon/PEEK implant. Typical codes: XRHB3FA
A 55-year-old patient with prior lumbar fusion presents with adjacent-segment degeneration and recurrent instability; during an inpatient revision, a pedicle-based carbon/PEEK spinal stabilization device is inserted into the adjacent lumbar vertebral joint using an open approach to provide additional support and address mechanical failure of the prior construct. This revision is performed because the joint itself is not being replaced but requires insertion of a nonbiological stabilizing appliance. The operation is inpatient due to revision complexity and need for close postoperative monitoring. Typical codes: XRHB0FA

Related Codes

XRH1-CERVICAL-VERTEBRAL-JOINT-INSERTION

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

XRH2-CERVICAL-VERTEBRAL-JOINTS-INSERTION

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

XRH4-CERVICOTHORACIC-VERTEBRAL-JOINT-INSERTION

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

XRH6-THORACIC-VERTEBRAL-JOINT-INSERTION

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

XRH7-THORACIC-VERTEBRAL-JOINTS-INSERTION

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

XRH8-THORACIC-VERTEBRAL-JOINTS-INSERTION

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

XRHA-THORACOLUMBAR-VERTEBRAL-JOINT-INSERTION

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

XRHC-LUMBAR-VERTEBRAL-JOINTS-INSERTION

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

XRHD-LUMBOSACRAL-JOINT-INSERTION

ICD-10-PCS Code For Lumbosacral Joint: 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

4 rows

ICD-10-PCS Code	Description
XRHB018	Insertion of Posterior Spinal Motion Preservation Device into Lumbar Vertebral Joint, Open Approach, New Technology Group 8
XRHB0FA	Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Lumbar Vertebral Joint, Open Approach, New Technology Group 10
XRHB3FA	Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Lumbar Vertebral Joint, Percutaneous Approach, New Technology Group 10
XRHB4FA	Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Lumbar Vertebral Joint, Percutaneous Endoscopic Approach, New Technology Group 10

DRG Codes

12 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
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

A 62-year-old patient with chronic lumbar facet-mediated back pain refractory to conservative therapy undergoes a planned open insertion of a posterior spinal motion preservation device into a lumbar vertebral joint to stabilize motion segments while preserving joint function. The goal of the inpatient procedure is to reduce pain and maintain segmental mobility after failure of injections and physical therapy. The operation is elective and performed under general anesthesia with open exposure of the affected lumbar joint. Typical codes: XRHB018
A 48-year-old patient presents after a traumatic lumbar joint injury with persistent mechanical instability and neurologic claudication; after imaging and failure of nonoperative stabilization, a pedicle-based carbon/PEEK spinal stabilization device is inserted into the lumbar vertebral joint via a percutaneous approach to restore stability and decompress neural elements. The minimally invasive percutaneous insertion is performed during the inpatient stay due to the acuity of symptoms and need for monitored postoperative care. The procedure targets the lumbar joint and uses a pedicle-based carbon/PEEK implant. Typical codes: XRHB3FA
A 55-year-old patient with prior lumbar fusion presents with adjacent-segment degeneration and recurrent instability; during an inpatient revision, a pedicle-based carbon/PEEK spinal stabilization device is inserted into the adjacent lumbar vertebral joint using an open approach to provide additional support and address mechanical failure of the prior construct. This revision is performed because the joint itself is not being replaced but requires insertion of a nonbiological stabilizing appliance. The operation is inpatient due to revision complexity and need for close postoperative monitoring. Typical codes: XRHB0FA

Related Codes

XRH1-CERVICAL-VERTEBRAL-JOINT-INSERTION

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

XRH2-CERVICAL-VERTEBRAL-JOINTS-INSERTION

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

XRH4-CERVICOTHORACIC-VERTEBRAL-JOINT-INSERTION

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

XRH6-THORACIC-VERTEBRAL-JOINT-INSERTION

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

XRH7-THORACIC-VERTEBRAL-JOINTS-INSERTION

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

XRH8-THORACIC-VERTEBRAL-JOINTS-INSERTION

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

XRHA-THORACOLUMBAR-VERTEBRAL-JOINT-INSERTION

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

XRHC-LUMBAR-VERTEBRAL-JOINTS-INSERTION

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

XRHD-LUMBOSACRAL-JOINT-INSERTION

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

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

Lumbar Vertebral Joint Insertion Procedure Overview

Code Attributes

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

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

Lumbar Vertebral Joint Insertion Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS XRHB code group for the lumbar vertebral joint?

What is the primary purpose of devices coded in XRHB?

What section and attributes define the XRHB ICD-10-PCS group?

How does accurate coding in XRHB affect inpatient reimbursement?

Which DRGs may be related to procedures coded in XRHB?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS XRHB code group for the lumbar vertebral joint?

What is the primary purpose of devices coded in XRHB?

What section and attributes define the XRHB ICD-10-PCS group?

How does accurate coding in XRHB affect inpatient reimbursement?

Which DRGs may be related to procedures coded in XRHB?

References