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ICD 10 Code 00FU4ZZ

Fragmentation in Spinal Canal, Percutaneous Endoscopic Approach
“Fragmentation in Spinal Canal, Perc Endo Approach” for short

00FU4ZZ is a valid billable ICD-10 procedure code for Fragmentation in Spinal Canal, Percutaneous Endoscopic Approach. It is found in the 2025 version of the ICD-10 Procedure Coding System (PCS) and can be used in all HIPAA-covered transactions from Oct 01, 2024 - Sep 30, 2025.

Fragmentation involves:
Breaking solid matter in a body part into pieces. Physical force (e.g., manual, ultrasonic) applied directly or indirectly is used to break the solid matter into pieces. The solid matter may be an abnormal byproduct of a biological function or a foreign body. The pieces of solid matter are not taken out

Percutaneous Endoscopic approach involves:
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

Fragmentation includes:

  • Extracorporeal shockwave lithotripsy, transurethral lithotripsy

Spinal Canal body part includes:

  • Epidural space, spinal
  • Extradural space, spinal
  • Subarachnoid space, spinal
  • Subdural space, spinal
  • Vertebral canal
MS-DRG - Medicare Severity-Diagnosis Related Group
  • MDC 01 Diseases & Disorders of the Nervous System
    Spinal Procedures
    • DRG 028 - SPINAL PROCEDURES WITH MCC
    • DRG 029 - SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS
    • DRG 030 - SPINAL PROCEDURES WITHOUT CC/MCC
  • MDC 08 Diseases & Disorders of the Musculoskeletal System & Connective Tissue
    Back and Neck Procedures, Except Spinal Fusion, or Disc Devices/Neurostimulators
    • DRG 518 - BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR
    • DRG 519 - BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC
    • DRG 520 - BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC
  • MDC 17 Myeloproliferative Diseases & Disorders, Poorly Differentiated Neoplasms
    Lymphoma and Leukemia with Major Procedure
    • DRG 820 - LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURE WITH MCC
    • DRG 821 - LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURE WITH CC
    • DRG 822 - LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURE WITHOUT CC/MCC
  • MDC 17 Myeloproliferative Diseases & Disorders, Poorly Differentiated Neoplasms
    Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major Procedure
    • DRG 826 - MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURE WITH MCC
    • DRG 827 - MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURE WITH CC
    • DRG 828 - MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURE WITHOUT CC/MCC
  • MDC 21 Injuries, Poisonings & Toxic Effects of Drugs
    Other O.R. Procedures for Injuries
    • DRG 907 - OTHER O.R. PROCEDURES FOR INJURIES WITH MCC
    • DRG 908 - OTHER O.R. PROCEDURES FOR INJURIES WITH CC
    • DRG 909 - OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC
  • MDC 24 Multiple Significant Trauma
    Other Procedures for Multiple Significant Trauma
    • DRG 957 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC
    • DRG 958 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC
    • DRG 959 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC

ICD-10-PCS code structure for 00FU4ZZ — See Table View

1: Section 0 Medical and Surgical
2: Body System 0 Central Nervous System and Cranial Nerves
3: Root Operation F Fragmentation
4: Body Part U Spinal Canal
5: Approach 4 Percutaneous Endoscopic
6: Device Z No Device
7: Qualifier Z No Qualifier

See also

  • The ICD-10-PCS Index of common procedure terms.
  • Medical and Surgical terms in the ICD-10-PCS Definitions table. These definitions may also provide additional explanation and/or examples within this section.
  • The ICD-10-PCS Device Aggregation Table containing entries that correlate a specific ICD-10-PCS device value with a general device value to be used in tables containing only general device values.