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ICD-10-PCS 2027 procedure code

0PUG47ZSupplement Left Humeral Shaft with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Supplement L Humeral Shaft w Autol Sub, 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 0PUG47Z

0PUG47Z is the ICD-10-PCS code for a supplement procedure on the left humeral shaft using a percutaneous endoscopic 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, humerus, the ICD-9-CM procedure title it maps to (78.02).

For a different body part, codes include 0PU047Z (sternum), 0PU147Z (ribs, 1 to 2), 0PU247Z (ribs, 3 or more), 0PU347Z (cervical vertebra), 0PU447Z (thoracic vertebra), 0PU547Z (right scapula) and 20 more.

The same procedure with a different approach is coded 0PUG07Z (open) and 0PUG37Z (percutaneous).

With a different device, use 0PUG4JZ (synthetic substitute) and 0PUG4KZ (nonautologous tissue substitute).

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
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
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
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 →
  • 78.02Bone graft, 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 0PUG47Z

Is 0PUG47Z a valid ICD-10-PCS code for 2027?

Yes. 0PUG47Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0PUG47Z an O.R. procedure?

Yes. 0PUG47Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0PUG47Z group to?

Depending on the principal diagnosis, 0PUG47Z 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 0PUG47Z?

The CMS GEMs map 0PUG47Z to ICD-9-CM 78.02 (Bone graft, humerus).