Skip to content
Dx

ICD-10-PCS 2027 procedure code

0PU207ZSupplement 3 or More Ribs with Autologous Tissue Substitute, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Supplement 3 or More Ribs with Autol Sub, Open Approach

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 0PU207Z

0PU207Z is the ICD-10-PCS code for a supplement procedure on the ribs, 3 or more using an open approach with autologous tissue substitute. In ICD-10-PCS, supplement means putting in or on biological or synthetic material that physically reinforces and/or augments the function of 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 0PU007Z (sternum), 0PU107Z (ribs, 1 to 2), 0PU307Z (cervical vertebra), 0PU407Z (thoracic vertebra), 0PU507Z (right scapula), 0PU607Z (left scapula) and 20 more.

The same procedure with a different approach is coded 0PU237Z (percutaneous) and 0PU247Z (percutaneous endoscopic).

With a different device, use 0PU20JZ (synthetic substitute) and 0PU20KZ (nonautologous tissue 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
USupplement

Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part

The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced, and the Supplement procedure is performed to physically reinforce and/or augment the function of the replaced body part

Includes: Herniorrhaphy using mesh, mitral valve ring annuloplasty, put a new acetabular liner in a previous hip replacement

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
7Autologous Tissue Substitute

Includes: Autograft; Cultured epidermal cell autograft; Epicel(R) cultured epidermal autograft

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)
  • FY2018 (effective 10/1/2017): Title revised — was “Supplement Left Rib with Autologous Tissue Substitute, Open Approach”

Common questions about 0PU207Z

Is 0PU207Z a valid ICD-10-PCS code for 2027?

Yes. 0PU207Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0PU207Z an O.R. procedure?

Yes. 0PU207Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0PU207Z group to?

Depending on the principal diagnosis, 0PU207Z can group to MS-DRG 515, MS-DRG 516 and MS-DRG 517.

What is the ICD-9 procedure code for 0PU207Z?

The CMS GEMs map 0PU207Z to ICD-9-CM 78.01 (Bone graft, scapula, clavicle, and thorax [ribs and sternum]).