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ICD-10-PCS 2027 procedure code

0PP2X4ZRemoval of Internal Fixation Device from 3 or More Ribs, External Approach

✓ Valid for 2027

Short description: Removal of Int Fix from 3+ Ribs, Extern 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 0PP2X4Z

0PP2X4Z is the ICD-10-PCS code for a removal procedure on the ribs, 3 or more using an external approach with internal fixation device. In ICD-10-PCS, removal means taking out or off a device from a body part.

In plain terms, this corresponds to removal of other therapeutic device, the ICD-9-CM procedure title it maps to (97.89).

For a different body part, codes include 0PP0X4Z (sternum), 0PP1X4Z (ribs, 1 to 2), 0PP3X4Z (cervical vertebra), 0PP4X4Z (thoracic vertebra), 0PP5X4Z (right scapula), 0PP6X4Z (left scapula) and 20 more.

The same procedure with a different approach is coded 0PP204Z (open), 0PP234Z (percutaneous) and 0PP244Z (percutaneous endoscopic).

It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.

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
XExternal

Procedures performed directly on the skin or mucous membrane and procedures performed indirectly by the application of external force through the skin or mucous membrane

6. Device
4Internal Fixation Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

ICD-9-CM equivalent

Converter →
  • 97.89Removal of other therapeutic deviceapproximate

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 Internal Fixation Device from Left Rib, External Approach”

Common questions about 0PP2X4Z

Is 0PP2X4Z a valid ICD-10-PCS code for 2027?

Yes. 0PP2X4Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 0PP2X4Z?

The CMS GEMs map 0PP2X4Z to ICD-9-CM 97.89 (Removal of other therapeutic device).