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ICD-10-PCS 2027 procedure code

0PPM3KZRemoval of Nonautologous Tissue Substitute from Right Carpal, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Nonaut Sub from R Carpal, Perc 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 0PPM3KZ

0PPM3KZ is the ICD-10-PCS code for a removal procedure on the right carpal 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, carpals and metacarpals, the ICD-9-CM procedure title it maps to (78.64).

For a different body part, codes include 0PP03KZ (sternum), 0PP13KZ (ribs, 1 to 2), 0PP23KZ (ribs, 3 or more), 0PP33KZ (cervical vertebra), 0PP43KZ (thoracic vertebra), 0PP53KZ (right scapula) and 20 more.

The same procedure with a different approach is coded 0PPM0KZ (open) and 0PPM4KZ (percutaneous endoscopic).

With a different device, use 0PPM34Z (internal fixation device), 0PPM35Z (external fixation device), 0PPM37Z (autologous tissue substitute) and 0PPM3JZ (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 906 (Hand Procedures for Injuries), DRG 957 (Other O.R. Procedures for Multiple Significant Trauma with MCC) and DRG 958 (Other O.R. Procedures for Multiple Significant Trauma with CC), under the surgical categories “Local Excision and Removal of Internal Fixation Devices Except Hip and Femur”, “Hand 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
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
MCarpal, Right
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.

MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Hand Procedures for Injuries

ICD-9-CM equivalent

Converter →
  • 78.64Removal of implanted devices from bone, carpals and metacarpalsapproximate

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 0PPM3KZ

Is 0PPM3KZ a valid ICD-10-PCS code for 2027?

Yes. 0PPM3KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0PPM3KZ an O.R. procedure?

Yes. 0PPM3KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0PPM3KZ group to?

Depending on the principal diagnosis, 0PPM3KZ can group to MS-DRG 495, MS-DRG 496, MS-DRG 497, MS-DRG 906, MS-DRG 957 and MS-DRG 958.

What is the ICD-9 procedure code for 0PPM3KZ?

The CMS GEMs map 0PPM3KZ to ICD-9-CM 78.64 (Removal of implanted devices from bone, carpals and metacarpals).