ICD-10-PCS 2027 procedure code
0RPD4KZRemoval of Nonautologous Tissue Substitute from Left Temporomandibular Joint, Percutaneous Endoscopic Approach
Short description: Remove Nonaut Sub from L Temporomandib Jt, Perc Endo
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 0RPD4KZ
0RPD4KZ is the ICD-10-PCS code for a removal procedure on the left temporomandibular joint using a percutaneous endoscopic approach with nonautologous tissue substitute. In ICD-10-PCS, removal means taking out or off a device from a body part.
In plain terms, this corresponds to other incision of facial bone, the ICD-9-CM procedure title it maps to (76.09).
For a different body part, codes include 0RP04KZ (occipital-cervical joint), 0RP14KZ (cervical vertebral joint), 0RP34KZ (cervical vertebral disc), 0RP44KZ (cervicothoracic vertebral joint), 0RP54KZ (cervicothoracic vertebral disc), 0RP64KZ (thoracic vertebral joint) and 22 more.
The same procedure with a different approach is coded 0RPD0KZ (open) and 0RPD3KZ (percutaneous).
With a different device, use 0RPD40Z (drainage device), 0RPD43Z (infusion device), 0RPD44Z (internal fixation device), 0RPD47Z (autologous tissue substitute), 0RPD48Z (spacer) and 0RPD4JZ (synthetic 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” and “Local Excision and Removal of Internal Fixation Devices Except Hip and Femur”.
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
- 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
- KNonautologous Tissue Substitute
Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0RP04KZOccipital-cervical Joint
- 0RP14KZCervical Vertebral Joint
- 0RP34KZCervical Vertebral Disc
- 0RP44KZCervicothoracic Vertebral Joint
- 0RP54KZCervicothoracic Vertebral Disc
- 0RP64KZThoracic Vertebral Joint
- 0RP94KZThoracic Vertebral Disc
- 0RPA4KZThoracolumbar Vertebral Joint
- 0RPB4KZThoracolumbar Vertebral Disc
- 0RPC4KZTemporomandibular Joint, Right
- 0RPE4KZSternoclavicular Joint, Right
- 0RPF4KZSternoclavicular 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
ICD-9-CM equivalent
Converter →- 76.09Other incision of 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 0RPD4KZ
Is 0RPD4KZ a valid ICD-10-PCS code for 2027?
- Yes. 0RPD4KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RPD4KZ an O.R. procedure?
- Yes. 0RPD4KZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RPD4KZ group to?
- Depending on the principal diagnosis, 0RPD4KZ 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 0RPD4KZ?
- The CMS GEMs map 0RPD4KZ to ICD-9-CM 76.09 (Other incision of facial bone).