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ICD-10-PCS 2027 procedure code

0RPD34ZRemoval of Internal Fixation Device from Left Temporomandibular Joint, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Int Fix from L 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 0RPD34Z

0RPD34Z is the ICD-10-PCS code for a removal procedure on the left 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), 0RPC34Z (right temporomandibular joint) and 18 more.

The same procedure with a different approach is coded 0RPD04Z (open), 0RPD44Z (percutaneous endoscopic) and 0RPDX4Z (external).

With a different device, use 0RPD30Z (drainage device), 0RPD33Z (infusion device), 0RPD37Z (autologous tissue substitute), 0RPD38Z (spacer), 0RPD3JZ (synthetic substitute) and 0RPD3KZ (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
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

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 0RPD34Z

Is 0RPD34Z a valid ICD-10-PCS code for 2027?

Yes. 0RPD34Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RPD34Z an O.R. procedure?

Yes. 0RPD34Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RPD34Z group to?

Depending on the principal diagnosis, 0RPD34Z 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 0RPD34Z?

The CMS GEMs map 0RPD34Z to ICD-9-CM 76.97 (Removal of internal fixation device from facial bone).