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ICD-10-PCS 2027 procedure code

0PQ00ZZRepair Sternum, Open Approach

✓ Valid for 2027O.R. procedure

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 0PQ00ZZ

0PQ00ZZ is the ICD-10-PCS code for a repair procedure on the sternum using an open approach. In ICD-10-PCS, repair means restoring, to the extent possible, a body part to its normal anatomic structure and function.

In plain terms, this corresponds to other repair or plastic operations on bone, scapula, clavicle, and thorax [ribs and sternum], the ICD-9-CM procedure title it maps to (78.41).

For a different body part, codes include 0PQ10ZZ (ribs, 1 to 2), 0PQ20ZZ (ribs, 3 or more), 0PQ30ZZ (cervical vertebra), 0PQ40ZZ (thoracic vertebra), 0PQ50ZZ (right scapula), 0PQ60ZZ (left scapula) and 20 more.

The same procedure with a different approach is coded 0PQ03ZZ (percutaneous), 0PQ04ZZ (percutaneous endoscopic) and 0PQ0XZZ (external).

It is an operating-room procedure in the MS-DRG logic for DRG 163 (Major Chest Procedures with MCC), DRG 164 (Major Chest Procedures with CC), DRG 165 (Major Chest Procedures without CC/MCC), DRG 515 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC), DRG 516 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC) and DRG 517 (Other Musculoskeletal System and Connective Tissue O.R. Procedures without CC/MCC), under the surgical categories “Major Chest Procedures”, “Other Musculoskeletal System and Connective Tissue O.R. Procedures” 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
QRepair

Restoring, to the extent possible, a body part to its normal anatomic structure and function

Used only when the method to accomplish the repair is not one of the other root operations

Includes: Colostomy takedown, suture of laceration

4. Body Part
0Sternum

Includes: Manubrium; Suprasternal notch; Xiphoid process

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
ZNo 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 →
  • 78.41Other repair or plastic operations on bone, scapula, clavicle, and thorax [ribs and sternum]approximate

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 0PQ00ZZ

Is 0PQ00ZZ a valid ICD-10-PCS code for 2027?

Yes. 0PQ00ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0PQ00ZZ an O.R. procedure?

Yes. 0PQ00ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0PQ00ZZ group to?

Depending on the principal diagnosis, 0PQ00ZZ can group to MS-DRG 163, MS-DRG 164, MS-DRG 165, MS-DRG 515, MS-DRG 516 and MS-DRG 517.

What is the ICD-9 procedure code for 0PQ00ZZ?

The CMS GEMs map 0PQ00ZZ to ICD-9-CM 78.41 (Other repair or plastic operations on bone, scapula, clavicle, and thorax [ribs and sternum]).