ICD-10-PCS 2027 procedure code
0RPD04ZRemoval of Internal Fixation Device from Left Temporomandibular Joint, Open Approach
Short description: Removal of Int Fix from L Temporomandib Jt, Open 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 0RPD04Z
0RPD04Z is the ICD-10-PCS code for a removal procedure on the left temporomandibular joint using an open 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 0RP004Z (occipital-cervical joint), 0RP104Z (cervical vertebral joint), 0RP404Z (cervicothoracic vertebral joint), 0RP604Z (thoracic vertebral joint), 0RPA04Z (thoracolumbar vertebral joint), 0RPC04Z (right temporomandibular joint) and 18 more.
The same procedure with a different approach is coded 0RPD34Z (percutaneous), 0RPD44Z (percutaneous endoscopic) and 0RPDX4Z (external).
With a different device, use 0RPD00Z (drainage device), 0RPD03Z (infusion device), 0RPD07Z (autologous tissue substitute), 0RPD08Z (spacer), 0RPD0JZ (synthetic substitute) and 0RPD0KZ (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
- DTemporomandibular Joint, Left
- 5. Approach
- 0Open
Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure
- 6. Device
- 4Internal Fixation Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0RP004ZOccipital-cervical Joint
- 0RP104ZCervical Vertebral Joint
- 0RP404ZCervicothoracic Vertebral Joint
- 0RP604ZThoracic Vertebral Joint
- 0RPA04ZThoracolumbar Vertebral Joint
- 0RPC04ZTemporomandibular Joint, Right
- 0RPE04ZSternoclavicular Joint, Right
- 0RPF04ZSternoclavicular Joint, Left
- 0RPG04ZAcromioclavicular Joint, Right
- 0RPH04ZAcromioclavicular Joint, Left
- 0RPJ04ZShoulder Joint, Right
- 0RPK04ZShoulder 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 0RPD04Z
Is 0RPD04Z a valid ICD-10-PCS code for 2027?
- Yes. 0RPD04Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RPD04Z an O.R. procedure?
- Yes. 0RPD04Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RPD04Z group to?
- Depending on the principal diagnosis, 0RPD04Z 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 0RPD04Z?
- The CMS GEMs map 0RPD04Z to ICD-9-CM 76.97 (Removal of internal fixation device from facial bone).