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ICD-10-PCS 2027 procedure code

0PPP35ZRemoval of External Fixation Device from Right Metacarpal, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Ext Fix from R Metacarpal, 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 0PPP35Z

0PPP35Z is the ICD-10-PCS code for a removal procedure on the right metacarpal using a percutaneous approach with external 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, carpals and metacarpals, the ICD-9-CM procedure title it maps to (78.64).

For a different body part, codes include 0PPC35Z (right humeral head), 0PPD35Z (left humeral head), 0PPF35Z (right humeral shaft), 0PPG35Z (left humeral shaft), 0PPH35Z (right radius), 0PPJ35Z (left radius) and 9 more.

The same procedure with a different approach is coded 0PPP05Z (open), 0PPP45Z (percutaneous endoscopic) and 0PPPX5Z (external).

With a different device, use 0PPP34Z (internal fixation device), 0PPP37Z (autologous tissue substitute), 0PPP3JZ (synthetic substitute) and 0PPP3KZ (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
PMetacarpal, 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
5External 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.

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 0PPP35Z

Is 0PPP35Z a valid ICD-10-PCS code for 2027?

Yes. 0PPP35Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0PPP35Z an O.R. procedure?

Yes. 0PPP35Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0PPP35Z group to?

Depending on the principal diagnosis, 0PPP35Z 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 0PPP35Z?

The CMS GEMs map 0PPP35Z to ICD-9-CM 78.64 (Removal of implanted devices from bone, carpals and metacarpals).