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ICD-10-PCS 2027 procedure code

0PP23KZRemoval of Nonautologous Tissue Substitute from 3 or More Ribs, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Nonaut Sub from 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 0PP23KZ

0PP23KZ is the ICD-10-PCS code for a removal procedure on the ribs, 3 or more using a percutaneous approach with nonautologous tissue substitute. In ICD-10-PCS, removal means taking out or off a device from a body part.

In plain terms, this corresponds to removal of implanted devices from bone, scapula, clavicle, and thorax [ribs and sternum], the ICD-9-CM procedure title it maps to (78.61).

For a different body part, codes include 0PP03KZ (sternum), 0PP13KZ (ribs, 1 to 2), 0PP33KZ (cervical vertebra), 0PP43KZ (thoracic vertebra), 0PP53KZ (right scapula), 0PP63KZ (left scapula) and 20 more.

The same procedure with a different approach is coded 0PP20KZ (open) and 0PP24KZ (percutaneous endoscopic).

With a different device, use 0PP234Z (internal fixation device), 0PP237Z (autologous tissue substitute) and 0PP23JZ (synthetic substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 495 (Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with MCC), DRG 496 (Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with CC), DRG 497 (Local Excision and Removal of Internal Fixation Devices Except Hip 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 “Local Excision and Removal of Internal Fixation Devices Except Hip and Femur” and “Other O.R. Procedures for Injuries”.

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
PRemoval

Taking out or off a device from a body part

If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL

Includes: Drainage tube removal, cardiac pacemaker removal

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
KNonautologous Tissue Substitute

Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft

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 →
  • 78.61Removal of implanted devices from bone, 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 “Removal of Nonautologous Tissue Substitute from Left Rib, Percutaneous Approach”

Common questions about 0PP23KZ

Is 0PP23KZ a valid ICD-10-PCS code for 2027?

Yes. 0PP23KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0PP23KZ an O.R. procedure?

Yes. 0PP23KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0PP23KZ group to?

Depending on the principal diagnosis, 0PP23KZ can group to MS-DRG 495, MS-DRG 496, MS-DRG 497, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0PP23KZ?

The CMS GEMs map 0PP23KZ to ICD-9-CM 78.61 (Removal of implanted devices from bone, scapula, clavicle, and thorax [ribs and sternum]).