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ICD-10-PCS 2027 procedure code

0PPS44ZRemoval of Internal Fixation Device from Left Thumb Phalanx, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Int Fix from L Thumb Phalanx, 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 0PPS44Z

0PPS44Z is the ICD-10-PCS code for a removal procedure on the left thumb phalanx using a percutaneous endoscopic 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 0PP044Z (sternum), 0PP144Z (ribs, 1 to 2), 0PP244Z (ribs, 3 or more), 0PP344Z (cervical vertebra), 0PP444Z (thoracic vertebra), 0PP544Z (right scapula) and 20 more.

The same procedure with a different approach is coded 0PPS04Z (open), 0PPS34Z (percutaneous) and 0PPSX4Z (external).

With a different device, use 0PPS45Z (external fixation device), 0PPS47Z (autologous tissue substitute), 0PPS4JZ (synthetic substitute) and 0PPS4KZ (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
SThumb Phalanx, Left
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
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 0PPS44Z

Is 0PPS44Z a valid ICD-10-PCS code for 2027?

Yes. 0PPS44Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0PPS44Z an O.R. procedure?

Yes. 0PPS44Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0PPS44Z group to?

Depending on the principal diagnosis, 0PPS44Z 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 0PPS44Z?

The CMS GEMs map 0PPS44Z to ICD-9-CM 78.69 (Removal of implanted devices from bone, other bones).