Skip to content
Dx

ICD-10-PCS 2027 procedure code

0NHR45ZInsertion of External Fixation Device into Maxilla, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Insertion of Ext Fix into Maxilla, Perc Endo Approach

Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0NHR45Z

0NHR45Z is the ICD-10-PCS code for a insertion procedure on the maxilla using a percutaneous endoscopic approach with external 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 other incision of facial bone, the ICD-9-CM procedure title it maps to (76.09).

For a different body part, codes include 0NH045Z (skull), 0NHT45Z (right mandible) and 0NHV45Z (left mandible).

The same procedure with a different approach is coded 0NHR05Z (open) and 0NHR35Z (percutaneous).

With a different device, use 0NHR44Z (internal fixation device).

It is an operating-room procedure in the MS-DRG logic for DRG 143 (Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC), DRG 144 (Other Ear, Nose, Mouth and Throat O.R. Procedures with CC) and DRG 145 (Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC), under the surgical category “Other Ear, Nose, Mouth and Throat O.R. Procedures”.

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
RMaxilla

Includes: Alveolar process of maxilla

5. Approach
4Percutaneous Endoscopic

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

6. Device
5External Fixation Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

ICD-9-CM equivalent

Converter →
  • 76.09Other incision of facial boneapproximate

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)
  • FY2018 (effective 10/1/2017): Title revised — was “Insertion of External Fixation Device into Right Maxilla, Percutaneous Endoscopic Approach”

Common questions about 0NHR45Z

Is 0NHR45Z a valid ICD-10-PCS code for 2027?

Yes. 0NHR45Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0NHR45Z an O.R. procedure?

Yes. 0NHR45Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0NHR45Z group to?

Depending on the principal diagnosis, 0NHR45Z can group to MS-DRG 143, MS-DRG 144 and MS-DRG 145.

What is the ICD-9 procedure code for 0NHR45Z?

The CMS GEMs map 0NHR45Z to ICD-9-CM 76.09 (Other incision of facial bone).