ICD-10-PCS 2027 procedure code
0RP0X4ZRemoval of Internal Fixation Device from Occipital-cervical Joint, External Approach
Short description: Removal of Int Fix from Occip Jt, Extern 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 0RP0X4Z
0RP0X4Z is the ICD-10-PCS code for a removal procedure on the occipital-cervical joint using an external approach with internal fixation device. In ICD-10-PCS, removal means taking out or off a device from a body part.
In plain terms, this corresponds to removal of other therapeutic device, the ICD-9-CM procedure title it maps to (97.89).
For a different body part, codes include 0RP1X4Z (cervical vertebral joint), 0RP4X4Z (cervicothoracic vertebral joint), 0RP6X4Z (thoracic vertebral joint), 0RPAX4Z (thoracolumbar vertebral joint), 0RPCX4Z (right temporomandibular joint), 0RPDX4Z (left temporomandibular joint) and 18 more.
The same procedure with a different approach is coded 0RP004Z (open), 0RP034Z (percutaneous) and 0RP044Z (percutaneous endoscopic).
With a different device, use 0RP0X0Z (drainage device) and 0RP0X3Z (infusion device).
It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.
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
- RUpper Joints
- 3. Operation
- PRemoval
Taking out or off a device from a body part
If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL
Includes: Drainage tube removal, cardiac pacemaker removal
- 4. Body Part
- 0Occipital-cervical Joint
- 5. Approach
- XExternal
Procedures performed directly on the skin or mucous membrane and procedures performed indirectly by the application of external force through the skin or mucous membrane
- 6. Device
- 4Internal Fixation Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0RP1X4ZCervical Vertebral Joint
- 0RP4X4ZCervicothoracic Vertebral Joint
- 0RP6X4ZThoracic Vertebral Joint
- 0RPAX4ZThoracolumbar Vertebral Joint
- 0RPCX4ZTemporomandibular Joint, Right
- 0RPDX4ZTemporomandibular Joint, Left
- 0RPEX4ZSternoclavicular Joint, Right
- 0RPFX4ZSternoclavicular Joint, Left
- 0RPGX4ZAcromioclavicular Joint, Right
- 0RPHX4ZAcromioclavicular Joint, Left
- 0RPJX4ZShoulder Joint, Right
- 0RPKX4ZShoulder Joint, Left
Different approach
Different device
ICD-9-CM equivalent
Converter →- 97.89Removal of other therapeutic deviceapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 0RP0X4Z
Is 0RP0X4Z a valid ICD-10-PCS code for 2027?
- Yes. 0RP0X4Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
What is the ICD-9 procedure code for 0RP0X4Z?
- The CMS GEMs map 0RP0X4Z to ICD-9-CM 97.89 (Removal of other therapeutic device).