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ICD-10-PCS 2027 procedure code

0PP404ZRemoval of Internal Fixation Device from Thoracic Vertebra, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Int Fix from Thor Vertebra, 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 0PP404Z

0PP404Z is the ICD-10-PCS code for a removal procedure on the thoracic vertebra using an open 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 implanted devices from bone, other bones, the ICD-9-CM procedure title it maps to (78.69).

For a different body part, codes include 0PP004Z (sternum), 0PP104Z (ribs, 1 to 2), 0PP204Z (ribs, 3 or more), 0PP304Z (cervical vertebra), 0PP504Z (right scapula), 0PP604Z (left scapula) and 20 more.

The same procedure with a different approach is coded 0PP434Z (percutaneous), 0PP444Z (percutaneous endoscopic) and 0PP4X4Z (external).

With a different device, use 0PP407Z (autologous tissue substitute), 0PP40JZ (synthetic substitute) and 0PP40KZ (nonautologous tissue 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
4Thoracic Vertebra

Includes: Spinous process; Transverse process; Vertebral arch; Vertebral body; Vertebral foramen; Vertebral lamina; Vertebral pedicle

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 →
  • 78.69Removal of implanted devices from bone, other bonesapproximate

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 0PP404Z

Is 0PP404Z a valid ICD-10-PCS code for 2027?

Yes. 0PP404Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0PP404Z an O.R. procedure?

Yes. 0PP404Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0PP404Z group to?

Depending on the principal diagnosis, 0PP404Z 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 0PP404Z?

The CMS GEMs map 0PP404Z to ICD-9-CM 78.69 (Removal of implanted devices from bone, other bones).