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ICD-10-PCS 2027 procedure code

0PS20ZZReposition 3 or More Ribs, Open Approach

✓ Valid for 2027O.R. procedure

Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0PS20ZZ

0PS20ZZ is the ICD-10-PCS code for a reposition procedure on the ribs, 3 or more using an open approach. In ICD-10-PCS, reposition means moving to its normal location, or other suitable location, all or a portion of a body part.

In plain terms, this corresponds to open reduction of fracture without internal fixation, other specified bone, the ICD-9-CM procedure title it maps to (79.29).

For a different body part, codes include 0PS00ZZ (sternum), 0PS10ZZ (ribs, 1 to 2), 0PS30ZZ (cervical vertebra), 0PS40ZZ (thoracic vertebra), 0PS50ZZ (right scapula), 0PS60ZZ (left scapula) and 20 more.

The same procedure with a different approach is coded 0PS23ZZ (percutaneous), 0PS24ZZ (percutaneous endoscopic) and 0PS2XZZ (external).

With a different device, use 0PS204Z (internal fixation device).

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”, “Other O.R. Procedures for Injuries” and 1 more.

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
SReposition

Moving to its normal location, or other suitable location, all or a portion of a body part

The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning correctly. The body part may or may not be cut out or off to be moved to the new location

Includes: Reposition of undescended testicle, fracture reduction

4. Body Part
2Ribs, 3 or More
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 →
  • 79.29Open reduction of fracture without internal fixation, other specified boneapproximate

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)
  • FY2018 (effective 10/1/2017): Title revised — was “Reposition Left Rib, Open Approach”

Common questions about 0PS20ZZ

Is 0PS20ZZ a valid ICD-10-PCS code for 2027?

Yes. 0PS20ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0PS20ZZ an O.R. procedure?

Yes. 0PS20ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0PS20ZZ group to?

Depending on the principal diagnosis, 0PS20ZZ 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 0PS20ZZ?

The CMS GEMs map 0PS20ZZ to ICD-9-CM 79.29 (Open reduction of fracture without internal fixation, other specified bone).