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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group XRHD includes procedures performed to insert nonbiological appliances that monitor, assist, perform, or prevent physiological functions in the lumbosacral joint. These ICD-10-PCS codes are used for inpatient documentation when a device is placed into the lumbosacral joint to provide monitoring, support, or prevention of a physiological function. Accurate coding within the ICD-10-PCS XRHD group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Lumbosacral Joint Insertion Procedure Overview

This procedure group includes insertion of nonbiological appliances that monitor, assist, perform, or prevent physiological functions in the lumbosacral joint. These procedures target the joints body system at the lumbosacral anatomical site and involve placing a device without replacing a body part. Accurate ICD-10-PCS coding is important for inpatient reimbursement because it documents the specific device insertion and supports correct case mix assignment.

Code Attributes

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

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

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Lumbosacral 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
D	Body Part	Lumbosacral Joint

When to Use

Use a code from this group when a nonbiological device is inserted into the lumbosacral joint to provide monitoring, assistance, or functional prevention. Do not use these codes for procedures that remove or replace the joint or for insertion of biological implants.

ICD-10-PCS Codes

4 rows

ICD-10-PCS Code	Description
XRHD018	Insertion of Posterior Spinal Motion Preservation Device into Lumbosacral Joint, Open Approach, New Technology Group 8
XRHD0FA	Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Lumbosacral Joint, Open Approach, New Technology Group 10
XRHD3FA	Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Lumbosacral Joint, Percutaneous Approach, New Technology Group 10
XRHD4FA	Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Lumbosacral 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 58-year-old patient with chronic multilevel degenerative spondylosis and axial low back pain refractory to conservative care is admitted for a planned operative stabilization aimed at preserving segmental motion. The surgeon elects an open insertion of a posterior spinal motion preservation device into the lumbosacral joint to provide posterior support while maintaining some native motion. The procedure is performed electively to reduce pain and prevent progression of instability. Typical codes: XRHD018
A 45-year-old patient presents after a work-related hyperflexion injury with focal lumbosacral instability and acute radiculopathy. Following urgent imaging that demonstrates pedicle compromise and segmental instability, the team proceeds with an open insertion of a pedicle-based carbon/PEEK spinal stabilization device into the lumbosacral joint to stabilize the affected motion segment and protect neural elements. The procedure is performed during the same hospitalization because conservative measures are insufficient and neurologic symptoms are progressing. Typical codes: XRHD0FA
A 62-year-old patient with prior percutaneous fixation of the lumbosacral junction returns with progressive mechanical back pain and imaging showing hardware loosening and focal instability at the previous construct. The operative plan is percutaneous revision with removal of failed components and insertion of a pedicle-based carbon/PEEK spinal stabilization device via a percutaneous approach into the lumbosacral joint to re-establish stabilization while minimizing soft-tissue disruption. This inpatient revision is performed because of failed prior fixation and ongoing functional impairment. Typical codes: XRHD3FA

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

XRHB-LUMBAR-VERTEBRAL-JOINT-INSERTION

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

XRHC-LUMBAR-VERTEBRAL-JOINTS-INSERTION

ICD-10-PCS Code For Lumbar Vertebral Joints: 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
XRHD018	Insertion of Posterior Spinal Motion Preservation Device into Lumbosacral Joint, Open Approach, New Technology Group 8
XRHD0FA	Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Lumbosacral Joint, Open Approach, New Technology Group 10
XRHD3FA	Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Lumbosacral Joint, Percutaneous Approach, New Technology Group 10
XRHD4FA	Insertion of Pedicle Based Carbon/PEEK Spinal Stabilization Device into Lumbosacral 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 58-year-old patient with chronic multilevel degenerative spondylosis and axial low back pain refractory to conservative care is admitted for a planned operative stabilization aimed at preserving segmental motion. The surgeon elects an open insertion of a posterior spinal motion preservation device into the lumbosacral joint to provide posterior support while maintaining some native motion. The procedure is performed electively to reduce pain and prevent progression of instability. Typical codes: XRHD018
A 45-year-old patient presents after a work-related hyperflexion injury with focal lumbosacral instability and acute radiculopathy. Following urgent imaging that demonstrates pedicle compromise and segmental instability, the team proceeds with an open insertion of a pedicle-based carbon/PEEK spinal stabilization device into the lumbosacral joint to stabilize the affected motion segment and protect neural elements. The procedure is performed during the same hospitalization because conservative measures are insufficient and neurologic symptoms are progressing. Typical codes: XRHD0FA
A 62-year-old patient with prior percutaneous fixation of the lumbosacral junction returns with progressive mechanical back pain and imaging showing hardware loosening and focal instability at the previous construct. The operative plan is percutaneous revision with removal of failed components and insertion of a pedicle-based carbon/PEEK spinal stabilization device via a percutaneous approach into the lumbosacral joint to re-establish stabilization while minimizing soft-tissue disruption. This inpatient revision is performed because of failed prior fixation and ongoing functional impairment. Typical codes: XRHD3FA

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

XRHB-LUMBAR-VERTEBRAL-JOINT-INSERTION

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

XRHC-LUMBAR-VERTEBRAL-JOINTS-INSERTION

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

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

Lumbosacral Joint Insertion Procedure Overview

Code Attributes

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

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

Lumbosacral Joint Insertion Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and anatomical site do the XRHD codes target?

What is the operation and section specified for the XRHD code group?

Which specific ICD-10-PCS codes are included in this XRHD group?

How does accurate coding within the XRHD group affect inpatient reimbursement?

Which DRGs are related to procedures coded in the XRHD group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and anatomical site do the XRHD codes target?

What is the operation and section specified for the XRHD code group?

Which specific ICD-10-PCS codes are included in this XRHD group?

How does accurate coding within the XRHD group affect inpatient reimbursement?

Which DRGs are related to procedures coded in the XRHD group?

References