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ICD-10-PCS 2027 procedure code

0PNG4ZZRelease Left Humeral Shaft, Percutaneous Endoscopic 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 0PNG4ZZ

0PNG4ZZ is the ICD-10-PCS code for a release procedure on the left humeral shaft using a percutaneous endoscopic approach. In ICD-10-PCS, release means freeing a body part from an abnormal physical constraint by cutting or by the use of force.

In plain terms, this corresponds to other repair or plastic operations on bone, humerus, the ICD-9-CM procedure title it maps to (78.42).

For a different body part, codes include 0PN04ZZ (sternum), 0PN14ZZ (ribs, 1 to 2), 0PN24ZZ (ribs, 3 or more), 0PN34ZZ (cervical vertebra), 0PN44ZZ (thoracic vertebra), 0PN54ZZ (right scapula) and 20 more.

The same procedure with a different approach is coded 0PNG0ZZ (open) and 0PNG3ZZ (percutaneous).

It is an operating-room procedure in the MS-DRG logic for DRG 492 (Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with MCC or Insertion of Antibiotic-eluting Bone Void Filler), DRG 493 (Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with CC), DRG 494 (Lower Extremity and Humerus Procedures Except Hip, Foot and Femur without CC/MCC), DRG 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC) and DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), under the surgical categories “Lower Extremity and Humerus Procedures Except Hip, Foot and Femur”, “Other O.R. Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.

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
NRelease

Freeing a body part from an abnormal physical constraint by cutting or by the use of force

Some of the restraining tissue may be taken out but none of the body part is taken out

Includes: Adhesiolysis, carpal tunnel release

4. Body Part
GHumeral Shaft, Left

Includes: Distal humerus; Humerus, distal; Lateral epicondyle of humerus; Medial epicondyle of humerus

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
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.

ICD-9-CM equivalent

Converter →
  • 78.42Other repair or plastic operations on bone, humerusapproximate

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 0PNG4ZZ

Is 0PNG4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0PNG4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0PNG4ZZ an O.R. procedure?

Yes. 0PNG4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0PNG4ZZ group to?

Depending on the principal diagnosis, 0PNG4ZZ can group to MS-DRG 492, MS-DRG 493, MS-DRG 494, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0PNG4ZZ?

The CMS GEMs map 0PNG4ZZ to ICD-9-CM 78.42 (Other repair or plastic operations on bone, humerus).