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ICD-10-PCS 2027 procedure code

0NP04KZRemoval of Nonautologous Tissue Substitute from Skull, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Nonaut Sub 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 0NP04KZ

0NP04KZ is the ICD-10-PCS code for a removal procedure on the skull using a percutaneous endoscopic approach with nonautologous tissue substitute. In ICD-10-PCS, removal means taking out or off a device from a body part.

In plain terms, this corresponds to other craniotomy, the ICD-9-CM procedure title it maps to (01.24).

For a different body part, codes include 0NPB4KZ (nasal bone) and 0NPW4KZ (facial bone).

The same procedure with a different approach is coded 0NP00KZ (open) and 0NP03KZ (percutaneous).

With a different device, use 0NP040Z (drainage device), 0NP043Z (infusion device), 0NP044Z (internal fixation device), 0NP045Z (external fixation device), 0NP047Z (autologous tissue substitute), 0NP04JZ (synthetic substitute) and 2 more.

It is an operating-room procedure in the MS-DRG logic for DRG 023 (Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Antineoplastic Implant or Epilepsy with Neurostimulator), DRG 024 (Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCC), DRG 025 (Craniotomy and Endovascular Intracranial Procedures with MCC), DRG 026 (Craniotomy and Endovascular Intracranial Procedures with CC) and DRG 027 (Craniotomy and Endovascular Intracranial Procedures without CC/MCC), under the surgical categories “Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis” and “Craniotomy and endovascular intracranial 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
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
KNonautologous Tissue Substitute

Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft

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 →
  • 01.24Other craniotomyapproximate

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 0NP04KZ

Is 0NP04KZ a valid ICD-10-PCS code for 2027?

Yes. 0NP04KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0NP04KZ an O.R. procedure?

Yes. 0NP04KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0NP04KZ group to?

Depending on the principal diagnosis, 0NP04KZ can group to MS-DRG 023, MS-DRG 024, MS-DRG 025, MS-DRG 026 and MS-DRG 027.

What is the ICD-9 procedure code for 0NP04KZ?

The CMS GEMs map 0NP04KZ to ICD-9-CM 01.24 (Other craniotomy).