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ICD-10-PCS 2027 procedure code

0QUP4KZSupplement Left Metatarsal with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Supplement L Metatarsal 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 0QUP4KZ

0QUP4KZ is the ICD-10-PCS code for a supplement procedure on the left metatarsal using a percutaneous endoscopic approach with nonautologous 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, tarsals and metatarsals, the ICD-9-CM procedure title it maps to (78.08).

For a different body part, codes include 0QU04KZ (lumbar vertebra), 0QU14KZ (sacrum), 0QU24KZ (right pelvic bone), 0QU34KZ (left pelvic bone), 0QU44KZ (right acetabulum), 0QU54KZ (left acetabulum) and 18 more.

The same procedure with a different approach is coded 0QUP0KZ (open) and 0QUP3KZ (percutaneous).

With a different device, use 0QUP47Z (autologous tissue substitute) and 0QUP4JZ (synthetic substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 503 (Foot Procedures with MCC), DRG 504 (Foot Procedures with CC), DRG 505 (Foot Procedures 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 “Foot Procedures”, “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
QLower 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
PMetatarsal, Left

Includes: Fibular sesamoid; Tibial sesamoid

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.

MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Foot Procedures

ICD-9-CM equivalent

Converter →
  • 78.08Bone graft, tarsals and metatarsalsapproximate

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 0QUP4KZ

Is 0QUP4KZ a valid ICD-10-PCS code for 2027?

Yes. 0QUP4KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0QUP4KZ an O.R. procedure?

Yes. 0QUP4KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0QUP4KZ group to?

Depending on the principal diagnosis, 0QUP4KZ can group to MS-DRG 503, MS-DRG 504, MS-DRG 505, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0QUP4KZ?

The CMS GEMs map 0QUP4KZ to ICD-9-CM 78.08 (Bone graft, tarsals and metatarsals).