ICD-10-PCS 2027 procedure code
0RPC34ZRemoval of Internal Fixation Device from Right Temporomandibular Joint, Percutaneous Approach
Short description: Removal of Int Fix from R Temporomandib Jt, Perc 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 0RPC34Z
0RPC34Z is the ICD-10-PCS code for a removal procedure on the right temporomandibular joint using a percutaneous 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 internal fixation device from facial bone, the ICD-9-CM procedure title it maps to (76.97).
For a different body part, codes include 0RP034Z (occipital-cervical joint), 0RP134Z (cervical vertebral joint), 0RP434Z (cervicothoracic vertebral joint), 0RP634Z (thoracic vertebral joint), 0RPA34Z (thoracolumbar vertebral joint), 0RPD34Z (left temporomandibular joint) and 18 more.
The same procedure with a different approach is coded 0RPC04Z (open), 0RPC44Z (percutaneous endoscopic) and 0RPCX4Z (external).
With a different device, use 0RPC30Z (drainage device), 0RPC33Z (infusion device), 0RPC37Z (autologous tissue substitute), 0RPC38Z (spacer), 0RPC3JZ (synthetic substitute) and 0RPC3KZ (nonautologous tissue substitute).
It is an operating-room procedure in the MS-DRG logic for DRG 143 (Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC), DRG 144 (Other Ear, Nose, Mouth and Throat O.R. Procedures with CC), DRG 145 (Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC), DRG 495 (Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with MCC), DRG 496 (Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with CC) and DRG 497 (Local Excision and Removal of Internal Fixation Devices Except Hip and Femur without CC/MCC), under the surgical categories “Other Ear, Nose, Mouth and Throat O.R. Procedures”, “Local Excision and Removal of Internal Fixation Devices Except Hip and Femur”, “Other O.R. Procedures for Injuries” and 1 more.
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
- CTemporomandibular Joint, Right
- 5. Approach
- 3Percutaneous
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure
- 6. Device
- 4Internal Fixation Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0RP034ZOccipital-cervical Joint
- 0RP134ZCervical Vertebral Joint
- 0RP434ZCervicothoracic Vertebral Joint
- 0RP634ZThoracic Vertebral Joint
- 0RPA34ZThoracolumbar Vertebral Joint
- 0RPD34ZTemporomandibular Joint, Left
- 0RPE34ZSternoclavicular Joint, Right
- 0RPF34ZSternoclavicular Joint, Left
- 0RPG34ZAcromioclavicular Joint, Right
- 0RPH34ZAcromioclavicular Joint, Left
- 0RPJ34ZShoulder Joint, Right
- 0RPK34ZShoulder Joint, Left
Different approach
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 03 · Diseases and Disorders of the Ear, Nose, Mouth and Throat · Other Ear, Nose, Mouth and Throat O.R. Procedures
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Local Excision and Removal of Internal Fixation Devices Except Hip and Femur
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →- 76.97Removal of internal fixation device from facial boneapproximate
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 0RPC34Z
Is 0RPC34Z a valid ICD-10-PCS code for 2027?
- Yes. 0RPC34Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RPC34Z an O.R. procedure?
- Yes. 0RPC34Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RPC34Z group to?
- Depending on the principal diagnosis, 0RPC34Z can group to MS-DRG 143, MS-DRG 144, MS-DRG 145, MS-DRG 495, MS-DRG 496 and MS-DRG 497.
What is the ICD-9 procedure code for 0RPC34Z?
- The CMS GEMs map 0RPC34Z to ICD-9-CM 76.97 (Removal of internal fixation device from facial bone).