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ICD-10-PCS 2027 procedure code

0NP0X3ZRemoval of Infusion Device from Skull, External Approach

✓ Valid for 2027

Code last changed in FY2023 (effective October 1, 2022). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0NP0X3Z

0NP0X3Z is the ICD-10-PCS code for a removal procedure on the skull using an external approach with infusion device. In ICD-10-PCS, removal means taking out or off a device from a body part.

The same procedure with a different approach is coded 0NP003Z (open), 0NP033Z (percutaneous) and 0NP043Z (percutaneous endoscopic).

With a different device, use 0NP0X0Z (drainage device), 0NP0X4Z (internal fixation device), 0NP0X5Z (external fixation device), 0NP0XMZ (bone growth stimulator) and 0NP0XSZ (hearing device).

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

It was added in FY2023, effective October 1, 2022.

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
XExternal

Procedures performed directly on the skin or mucous membrane and procedures performed indirectly by the application of external force through the skin or mucous membrane

6. Device
3Infusion Device

Includes: Ascenda Intrathecal Catheter; InDura, intrathecal catheter (1P) (spinal); Non-tunneled central venous catheter; Peripherally inserted central catheter (PICC); Tunneled spinal (intrathecal) catheter

7. Qualifier
ZNo Qualifier

Other versions of this procedure

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
  • FY2023 (effective 10/1/2022): Added
  • No changes since FY2023.

Common questions about 0NP0X3Z

Is 0NP0X3Z a valid ICD-10-PCS code for 2027?

Yes. 0NP0X3Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.