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ICD-10-PCS 2027 procedure code

0PH604ZInsertion of Internal Fixation Device into Left Scapula, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Insertion of Int Fix into L Scapula, Open 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 0PH604Z

0PH604Z is the ICD-10-PCS code for a insertion procedure on the left scapula using an open 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 0PH004Z (sternum), 0PH104Z (ribs, 1 to 2), 0PH204Z (ribs, 3 or more), 0PH304Z (cervical vertebra), 0PH404Z (thoracic vertebra), 0PH504Z (right scapula) and 20 more.

The same procedure with a different approach is coded 0PH634Z (percutaneous) and 0PH644Z (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
6Scapula, Left

Includes: Acromion (process); Coracoid process

5. Approach
0Open

Cutting through the skin or mucous membrane and any other body layers necessary to expose 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)
  • No changes since FY2016.

Common questions about 0PH604Z

Is 0PH604Z a valid ICD-10-PCS code for 2027?

Yes. 0PH604Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0PH604Z an O.R. procedure?

Yes. 0PH604Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0PH604Z group to?

Depending on the principal diagnosis, 0PH604Z 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 0PH604Z?

The CMS GEMs map 0PH604Z to ICD-9-CM 78.51 (Internal fixation of bone without fracture reduction, scapula, clavicle, and thorax [ribs and sternum]).