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ICD-10-PCS 2027 procedure code

0PSG46ZReposition Left Humeral Shaft with Intramedullary Internal Fixation Device, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Reposition L Humeral Shaft w Intramed Fix, Perc Endo

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 0PSG46Z

0PSG46Z is the ICD-10-PCS code for a reposition procedure on the left humeral shaft using a percutaneous endoscopic approach with internal fixation device, intramedullary. 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 closed reduction of fracture with internal fixation, humerus, the ICD-9-CM procedure title it maps to (79.11).

For a different body part, codes include 0PSC46Z (right humeral head), 0PSD46Z (left humeral head), 0PSF46Z (right humeral shaft), 0PSH46Z (right radius), 0PSJ46Z (left radius), 0PSK46Z (right ulna) and 1 more.

The same procedure with a different approach is coded 0PSG06Z (open) and 0PSG36Z (percutaneous).

With a different device, use 0PSG44Z (internal fixation device), 0PSG45Z (external fixation device), 0PSG4BZ (external fixation device, monoplanar), 0PSG4CZ (external fixation device, ring), 0PSG4DZ (external fixation device, hybrid) and 0PSG4ZZ (no device).

It is an operating-room procedure in the MS-DRG logic for DRG 492 (Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with MCC or Insertion of Antibiotic-eluting Bone Void Filler), DRG 493 (Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with CC), DRG 494 (Lower Extremity and Humerus Procedures Except Hip, Foot 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 “Lower Extremity and Humerus Procedures Except Hip, Foot and Femur”, “Other O.R. 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
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
GHumeral Shaft, Left

Includes: Distal humerus; Humerus, distal; Lateral epicondyle of humerus; Medial epicondyle of humerus

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
6Internal Fixation Device, Intramedullary
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 →
  • 79.11Closed reduction of fracture with internal fixation, humerusapproximate

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 0PSG46Z

Is 0PSG46Z a valid ICD-10-PCS code for 2027?

Yes. 0PSG46Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0PSG46Z an O.R. procedure?

Yes. 0PSG46Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0PSG46Z group to?

Depending on the principal diagnosis, 0PSG46Z can group to MS-DRG 492, MS-DRG 493, MS-DRG 494, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0PSG46Z?

The CMS GEMs map 0PSG46Z to ICD-9-CM 79.11 (Closed reduction of fracture with internal fixation, humerus).