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ICD-10-PCS 2027 procedure code

0PPM47ZRemoval of Autologous Tissue Substitute from Right Carpal, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Autol Sub from R Carpal, Perc Endo 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 0PPM47Z

0PPM47Z is the ICD-10-PCS code for a removal procedure on the right carpal using a percutaneous endoscopic approach with autologous 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 0PP047Z (sternum), 0PP147Z (ribs, 1 to 2), 0PP247Z (ribs, 3 or more), 0PP347Z (cervical vertebra), 0PP447Z (thoracic vertebra), 0PP547Z (right scapula) and 20 more.

The same procedure with a different approach is coded 0PPM07Z (open) and 0PPM37Z (percutaneous).

With a different device, use 0PPM44Z (internal fixation device), 0PPM45Z (external fixation device), 0PPM4JZ (synthetic substitute) and 0PPM4KZ (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 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
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
7Autologous Tissue Substitute

Includes: Autograft; Cultured epidermal cell autograft; Epicel(R) cultured epidermal autograft

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 0PPM47Z

Is 0PPM47Z a valid ICD-10-PCS code for 2027?

Yes. 0PPM47Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0PPM47Z an O.R. procedure?

Yes. 0PPM47Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0PPM47Z group to?

Depending on the principal diagnosis, 0PPM47Z 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 0PPM47Z?

The CMS GEMs map 0PPM47Z to ICD-9-CM 78.64 (Removal of implanted devices from bone, carpals and metacarpals).