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ICD-10-PCS 2027 procedure code

0PH040ZInsertion of Rigid Plate Internal Fixation Device into Sternum, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Insert of Rigid Plate Fix into Sternum, 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 0PH040Z

0PH040Z is the ICD-10-PCS code for a insertion procedure on the sternum using a percutaneous endoscopic approach with internal fixation device, rigid plate. 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 insertion of sternal fixation device with rigid plates, the ICD-9-CM procedure title it maps to (84.94).

The same procedure with a different approach is coded 0PH000Z (open) and 0PH030Z (percutaneous).

With a different device, use 0PH044Z (internal fixation device).

It is an operating-room procedure in the MS-DRG logic for DRG 163 (Major Chest Procedures with MCC), DRG 164 (Major Chest Procedures with CC), DRG 165 (Major Chest Procedures without CC/MCC), DRG 361 (Other Circulatory System O.R. Procedures with MCC), DRG 362 (Other Circulatory System O.R. Procedures without MCC) and DRG 515 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC), under the surgical categories “Major Chest Procedures”, “Other Circulatory System O.R. Procedures”, “Other Musculoskeletal System and Connective Tissue O.R. Procedures” and 2 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
PUpper 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
0Sternum

Includes: Manubrium; Suprasternal notch; Xiphoid process

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
0Internal Fixation Device, Rigid Plate
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 05 · Diseases and Disorders of the Circulatory System · Other Circulatory System O.R. Procedures

ICD-9-CM equivalent

Converter →
  • 84.94Insertion of sternal fixation device with rigid platesapproximate

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 0PH040Z

Is 0PH040Z a valid ICD-10-PCS code for 2027?

Yes. 0PH040Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0PH040Z an O.R. procedure?

Yes. 0PH040Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0PH040Z group to?

Depending on the principal diagnosis, 0PH040Z can group to MS-DRG 163, MS-DRG 164, MS-DRG 165, MS-DRG 361, MS-DRG 362 and MS-DRG 515.

What is the ICD-9 procedure code for 0PH040Z?

The CMS GEMs map 0PH040Z to ICD-9-CM 84.94 (Insertion of sternal fixation device with rigid plates).