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ICD-10-PCS 2027 procedure code

0NQ03ZZRepair Skull, Percutaneous Approach

✓ Valid for 2027O.R. procedure

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 0NQ03ZZ

0NQ03ZZ is the ICD-10-PCS code for a repair procedure on the skull using a percutaneous approach. In ICD-10-PCS, repair means restoring, to the extent possible, a body part to its normal anatomic structure and function.

In plain terms, this corresponds to other cranial osteoplasty, the ICD-9-CM procedure title it maps to (02.06).

For a different body part, codes include 0NQ13ZZ (frontal bone), 0NQ33ZZ (right parietal bone), 0NQ43ZZ (left parietal bone), 0NQ53ZZ (right temporal bone), 0NQ63ZZ (left temporal bone), 0NQ73ZZ (occipital bone) and 16 more.

The same procedure with a different approach is coded 0NQ00ZZ (open), 0NQ04ZZ (percutaneous endoscopic) and 0NQ0XZZ (external).

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), DRG 027 (Craniotomy and Endovascular Intracranial Procedures without CC/MCC) and DRG 143 (Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC), under the surgical categories “Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis”, “Craniotomy and endovascular intracranial procedures”, “Other Ear, Nose, Mouth and Throat O.R. Procedures” and 3 more.

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
QRepair

Restoring, to the extent possible, a body part to its normal anatomic structure and function

Used only when the method to accomplish the repair is not one of the other root operations

Includes: Colostomy takedown, suture of laceration

4. Body Part
0Skull
5. Approach
3Percutaneous

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure

6. Device
ZNo 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.

MDC 24 · Multiple Significant Trauma · Craniotomy for Multiple Significant Trauma

ICD-9-CM equivalent

Converter →
  • 02.06Other cranial osteoplastyapproximate

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 0NQ03ZZ

Is 0NQ03ZZ a valid ICD-10-PCS code for 2027?

Yes. 0NQ03ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0NQ03ZZ an O.R. procedure?

Yes. 0NQ03ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0NQ03ZZ group to?

Depending on the principal diagnosis, 0NQ03ZZ can group to MS-DRG 023, MS-DRG 024, MS-DRG 025, MS-DRG 026, MS-DRG 027 and MS-DRG 143.

What is the ICD-9 procedure code for 0NQ03ZZ?

The CMS GEMs map 0NQ03ZZ to ICD-9-CM 02.06 (Other cranial osteoplasty).