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ICD-10-PCS 2027 procedure code

0RPCX4ZRemoval of Internal Fixation Device from Right Temporomandibular Joint, External Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Int Fix from R Temporomandib 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 0RPCX4Z

0RPCX4Z is the ICD-10-PCS code for a removal procedure on the right temporomandibular 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 internal fixation device from facial bone, the ICD-9-CM procedure title it maps to (76.97).

For a different body part, codes include 0RP0X4Z (occipital-cervical joint), 0RP1X4Z (cervical vertebral joint), 0RP4X4Z (cervicothoracic vertebral joint), 0RP6X4Z (thoracic vertebral joint), 0RPAX4Z (thoracolumbar vertebral joint), 0RPDX4Z (left temporomandibular joint) and 18 more.

The same procedure with a different approach is coded 0RPC04Z (open), 0RPC34Z (percutaneous) and 0RPC44Z (percutaneous endoscopic).

With a different device, use 0RPCX0Z (drainage device) and 0RPCX3Z (infusion device).

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
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

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 →
  • 76.97Removal of internal fixation device from facial boneapproximate

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 0RPCX4Z

Is 0RPCX4Z a valid ICD-10-PCS code for 2027?

Yes. 0RPCX4Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RPCX4Z an O.R. procedure?

Yes. 0RPCX4Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RPCX4Z group to?

Depending on the principal diagnosis, 0RPCX4Z 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 0RPCX4Z?

The CMS GEMs map 0RPCX4Z to ICD-9-CM 76.97 (Removal of internal fixation device from facial bone).