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ICD-10-PCS 2027 procedure code

0RP644ZRemoval of Internal Fixation Device from Thoracic Vertebral Joint, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Int Fix from Thor Jt, 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 0RP644Z

0RP644Z is the ICD-10-PCS code for a removal procedure on the thoracic vertebral joint using a percutaneous endoscopic 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 other arthrotomy, other specified sites, the ICD-9-CM procedure title it maps to (80.19).

For a different body part, codes include 0RP044Z (occipital-cervical joint), 0RP144Z (cervical vertebral joint), 0RP444Z (cervicothoracic vertebral joint), 0RPA44Z (thoracolumbar vertebral joint), 0RPC44Z (right temporomandibular joint), 0RPD44Z (left temporomandibular joint) and 18 more.

The same procedure with a different approach is coded 0RP604Z (open), 0RP634Z (percutaneous) and 0RP6X4Z (external).

With a different device, use 0RP640Z (drainage device), 0RP643Z (infusion device), 0RP647Z (autologous tissue substitute), 0RP648Z (spacer), 0RP64AZ (interbody fusion device), 0RP64JZ (synthetic substitute) and 1 more.

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
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
6Thoracic Vertebral Joint

Includes: Costotransverse joint; Costovertebral joint; Thoracic facet joint

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
4Internal Fixation Device
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 →
  • 80.19Other arthrotomy, other specified sitesapproximate

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 0RP644Z

Is 0RP644Z a valid ICD-10-PCS code for 2027?

Yes. 0RP644Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RP644Z an O.R. procedure?

Yes. 0RP644Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RP644Z group to?

Depending on the principal diagnosis, 0RP644Z can group to MS-DRG 515, MS-DRG 516 and MS-DRG 517.

What is the ICD-9 procedure code for 0RP644Z?

The CMS GEMs map 0RP644Z to ICD-9-CM 80.19 (Other arthrotomy, other specified sites).