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ICD-10-PCS 2027 procedure code

0NP045ZRemoval of External Fixation Device from Skull, Percutaneous Endoscopic Approach

✓ Valid for 2027

Short description: Removal of Ext Fix from Skull, Perc Endo 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 0NP045Z

0NP045Z is the ICD-10-PCS code for a removal procedure on the skull using a percutaneous endoscopic approach with external fixation device. In ICD-10-PCS, removal means taking out or off a device from a body part.

In plain terms, this corresponds to removal of skull tongs or halo traction device, the ICD-9-CM procedure title it maps to (02.95).

For a different body part, codes include 0NPB45Z (nasal bone) and 0NPW45Z (facial bone).

The same procedure with a different approach is coded 0NP005Z (open), 0NP035Z (percutaneous) and 0NP0X5Z (external).

With a different device, use 0NP040Z (drainage device), 0NP043Z (infusion device), 0NP044Z (internal fixation device), 0NP047Z (autologous tissue substitute), 0NP04JZ (synthetic substitute), 0NP04KZ (nonautologous tissue substitute) and 2 more.

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
PRemoval

Taking out or off a device from a body part

If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL

Includes: Drainage tube removal, cardiac pacemaker removal

4. Body Part
0Skull
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

ICD-9-CM equivalent

Converter →
  • 02.95Removal of skull tongs or halo traction deviceapproximate

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 0NP045Z

Is 0NP045Z a valid ICD-10-PCS code for 2027?

Yes. 0NP045Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 0NP045Z?

The CMS GEMs map 0NP045Z to ICD-9-CM 02.95 (Removal of skull tongs or halo traction device).