ICD-10-PCS 2027 procedure code
0RPL4KZRemoval of Nonautologous Tissue Substitute from Right Elbow Joint, Percutaneous Endoscopic Approach
Short description: Removal of Nonaut Sub from R Elbow 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 0RPL4KZ
0RPL4KZ is the ICD-10-PCS code for a removal procedure on the right elbow 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 arthrotomy, elbow, the ICD-9-CM procedure title it maps to (80.12).
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 0RPL0KZ (open) and 0RPL3KZ (percutaneous).
With a different device, use 0RPL40Z (drainage device), 0RPL43Z (infusion device), 0RPL44Z (internal fixation device), 0RPL45Z (external fixation device), 0RPL47Z (autologous tissue substitute), 0RPL48Z (spacer) and 1 more.
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
- LElbow Joint, Right
- 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
- 0RPD4KZTemporomandibular Joint, Left
- 0RPE4KZSternoclavicular 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 →- 80.12Other arthrotomy, elbowapproximate
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 0RPL4KZ
Is 0RPL4KZ a valid ICD-10-PCS code for 2027?
- Yes. 0RPL4KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RPL4KZ an O.R. procedure?
- Yes. 0RPL4KZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RPL4KZ group to?
- Depending on the principal diagnosis, 0RPL4KZ 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 0RPL4KZ?
- The CMS GEMs map 0RPL4KZ to ICD-9-CM 80.12 (Other arthrotomy, elbow).