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ICD-10-PCS 2027 procedure code

0PH234ZInsertion of Internal Fixation Device into 3 or More Ribs, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Short description: Insertion of Int Fix into 3+ Ribs, Perc Approach

Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0PH234Z

0PH234Z is the ICD-10-PCS code for a insertion procedure on the ribs, 3 or more using a percutaneous approach with internal fixation device. 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 internal fixation of bone without fracture reduction, scapula, clavicle, and thorax [ribs and sternum], the ICD-9-CM procedure title it maps to (78.51).

For a different body part, codes include 0PH034Z (sternum), 0PH134Z (ribs, 1 to 2), 0PH334Z (cervical vertebra), 0PH434Z (thoracic vertebra), 0PH534Z (right scapula), 0PH634Z (left scapula) and 20 more.

The same procedure with a different approach is coded 0PH204Z (open) and 0PH244Z (percutaneous endoscopic).

It is an operating-room procedure in the MS-DRG logic for DRG 166 (Other Respiratory System O.R. Procedures with MCC), DRG 167 (Other Respiratory System O.R. Procedures with CC), DRG 168 (Other Respiratory System O.R. Procedures without CC/MCC), DRG 515 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC), DRG 516 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC) and DRG 517 (Other Musculoskeletal System and Connective Tissue O.R. Procedures without CC/MCC), under the surgical categories “Other Respiratory System O.R. Procedures”, “Other Musculoskeletal System and Connective Tissue O.R. Procedures”, “Other O.R. Procedures for Injuries” and 1 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
2Ribs, 3 or More
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
4Internal Fixation 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.

ICD-9-CM equivalent

Converter →
  • 78.51Internal fixation of bone without fracture reduction, scapula, clavicle, and thorax [ribs and sternum]approximate

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)
  • FY2018 (effective 10/1/2017): Title revised — was “Insertion of Internal Fixation Device into Left Rib, Percutaneous Approach”

Common questions about 0PH234Z

Is 0PH234Z a valid ICD-10-PCS code for 2027?

Yes. 0PH234Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0PH234Z an O.R. procedure?

Yes. 0PH234Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0PH234Z group to?

Depending on the principal diagnosis, 0PH234Z can group to MS-DRG 166, MS-DRG 167, MS-DRG 168, MS-DRG 515, MS-DRG 516 and MS-DRG 517.

What is the ICD-9 procedure code for 0PH234Z?

The CMS GEMs map 0PH234Z to ICD-9-CM 78.51 (Internal fixation of bone without fracture reduction, scapula, clavicle, and thorax [ribs and sternum]).