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ICD-10-PCS 2027 procedure code

0PRB4KZReplacement of Left Clavicle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Replace of L Clavicle with Nonaut Sub, 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 0PRB4KZ

0PRB4KZ is the ICD-10-PCS code for a replacement procedure on the left clavicle using a percutaneous endoscopic approach with nonautologous tissue substitute. In ICD-10-PCS, replacement means putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part.

In plain terms, this corresponds to bone graft, scapula, clavicle, and thorax [ribs and sternum], the ICD-9-CM procedure title it maps to (78.01).

For a different body part, codes include 0PR04KZ (sternum), 0PR14KZ (ribs, 1 to 2), 0PR24KZ (ribs, 3 or more), 0PR34KZ (cervical vertebra), 0PR44KZ (thoracic vertebra), 0PR54KZ (right scapula) and 20 more.

The same procedure with a different approach is coded 0PRB0KZ (open) and 0PRB3KZ (percutaneous).

With a different device, use 0PRB47Z (autologous tissue substitute) and 0PRB4JZ (synthetic substitute).

It is an operating-room procedure in the MS-DRG logic for 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 category “Other Musculoskeletal System and Connective Tissue O.R. Procedures”.

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
RReplacement

Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part

The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during the Replacement procedure. A Removal procedure is coded for taking out the device used in a previous replacement procedure

Includes: Total hip replacement, bone graft, free skin graft

4. Body Part
BClavicle, 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
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.

ICD-9-CM equivalent

Converter →
  • 78.01Bone graft, 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 0PRB4KZ

Is 0PRB4KZ a valid ICD-10-PCS code for 2027?

Yes. 0PRB4KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0PRB4KZ an O.R. procedure?

Yes. 0PRB4KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0PRB4KZ group to?

Depending on the principal diagnosis, 0PRB4KZ can group to MS-DRG 515, MS-DRG 516 and MS-DRG 517.

What is the ICD-9 procedure code for 0PRB4KZ?

The CMS GEMs map 0PRB4KZ to ICD-9-CM 78.01 (Bone graft, scapula, clavicle, and thorax [ribs and sternum]).