ICD-10-PCS 2027 procedure code
0RPK40ZRemoval of Drainage Device from Left Shoulder Joint, Percutaneous Endoscopic Approach
Short description: Removal of Drain Dev from L Shoulder Jt, Perc Endo 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 0RPK40Z
0RPK40Z is the ICD-10-PCS code for a removal procedure on the left shoulder joint using a percutaneous endoscopic approach with drainage device. In ICD-10-PCS, removal means taking out or off a device from a body part.
In plain terms, this corresponds to other arthrotomy, shoulder, the ICD-9-CM procedure title it maps to (80.11).
For a different body part, codes include 0RP040Z (occipital-cervical joint), 0RP140Z (cervical vertebral joint), 0RP340Z (cervical vertebral disc), 0RP440Z (cervicothoracic vertebral joint), 0RP540Z (cervicothoracic vertebral disc), 0RP640Z (thoracic vertebral joint) and 22 more.
The same procedure with a different approach is coded 0RPK00Z (open), 0RPK30Z (percutaneous) and 0RPKX0Z (external).
With a different device, use 0RPK43Z (infusion device), 0RPK44Z (internal fixation device), 0RPK47Z (autologous tissue substitute), 0RPK48Z (spacer), 0RPK4JZ (synthetic substitute) and 0RPK4KZ (nonautologous tissue substitute).
It is an operating-room procedure in the MS-DRG logic for DRG 507 (Major Shoulder or Elbow Joint Procedures with CC/MCC), DRG 508 (Major Shoulder or Elbow Joint Procedures without CC/MCC), DRG 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC) and DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), under the surgical categories “Major Shoulder or Elbow Joint Procedures” and “Other O.R. Procedures for Injuries”.
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
- KShoulder Joint, Left
Includes: Glenohumeral joint; Glenoid ligament (labrum)
- 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
- 0Drainage Device
Includes: Cystostomy tube; Foley catheter; Percutaneous nephrostomy catheter; Thoracostomy tube
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0RP040ZOccipital-cervical Joint
- 0RP140ZCervical Vertebral Joint
- 0RP340ZCervical Vertebral Disc
- 0RP440ZCervicothoracic Vertebral Joint
- 0RP540ZCervicothoracic Vertebral Disc
- 0RP640ZThoracic Vertebral Joint
- 0RP940ZThoracic Vertebral Disc
- 0RPA40ZThoracolumbar Vertebral Joint
- 0RPB40ZThoracolumbar Vertebral Disc
- 0RPC40ZTemporomandibular Joint, Right
- 0RPD40ZTemporomandibular Joint, Left
- 0RPE40ZSternoclavicular Joint, Right
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 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Major Shoulder or Elbow Joint Procedures
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
ICD-9-CM equivalent
Converter →- 80.11Other arthrotomy, shoulderapproximate
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 0RPK40Z
Is 0RPK40Z a valid ICD-10-PCS code for 2027?
- Yes. 0RPK40Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RPK40Z an O.R. procedure?
- Yes. 0RPK40Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RPK40Z group to?
- Depending on the principal diagnosis, 0RPK40Z can group to MS-DRG 507, MS-DRG 508, MS-DRG 907, MS-DRG 908 and MS-DRG 909.
What is the ICD-9 procedure code for 0RPK40Z?
- The CMS GEMs map 0RPK40Z to ICD-9-CM 80.11 (Other arthrotomy, shoulder).