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ICD-10-PCS 2027 procedure code

0NHB04ZInsertion of Internal Fixation Device into Nasal Bone, Open Approach

✓ Valid for 2027

Short description: Insertion of Int Fix into Nasal Bone, Open Approach

Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0NHB04Z

0NHB04Z is the ICD-10-PCS code for a insertion procedure on the nasal bone using an open approach with internal fixation device. In ICD-10-PCS, insertion means putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part.

In plain terms, this corresponds to incision of nose, the ICD-9-CM procedure title it maps to (21.1).

For a different body part, codes include 0NH004Z (skull), 0NH104Z (frontal bone), 0NH304Z (right parietal bone), 0NH404Z (left parietal bone), 0NH504Z (right temporal bone), 0NH604Z (left temporal bone) and 16 more.

The same procedure with a different approach is coded 0NHB34Z (percutaneous) and 0NHB44Z (percutaneous endoscopic).

With a different device, use 0NHB0MZ (bone growth stimulator).

It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.

It has been valid since ICD-10-PCS took effect on October 1, 2015.

What each character means

1. Section
0Medical and Surgical
2. Body System
NHead and Facial Bones
3. Operation
HInsertion

Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part

Includes: Insertion of radioactive implant, insertion of central venous catheter

4. Body Part
BNasal Bone

Includes: Vomer of nasal septum

5. Approach
0Open

Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

6. Device
4Internal Fixation Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

ICD-9-CM equivalent

Converter →
  • 21.1Incision of noseapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 0NHB04Z

Is 0NHB04Z a valid ICD-10-PCS code for 2027?

Yes. 0NHB04Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 0NHB04Z?

The CMS GEMs map 0NHB04Z to ICD-9-CM 21.1 (Incision of nose).