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ICD-10-PCS 2027 procedure code

0UPH41ZRemoval of Radioactive Element from Vagina and Cul-de-sac, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedureFemale only

Short description: Remove Radioact Elem from Vagina & Cul-de-sac, 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 0UPH41Z

0UPH41Z is the ICD-10-PCS code for a removal procedure on the vagina and cul-de-sac using a percutaneous endoscopic approach with radioactive element. In ICD-10-PCS, removal means taking out or off a device from a body part.

In plain terms, this corresponds to Culdotomy and other vaginotomy, the ICD-9-CM procedure titles it maps to (70.12 and 70.14).

For a different body part, codes include 0UPD41Z (uterus and cervix).

The same procedure with a different approach is coded 0UPH01Z (open), 0UPH31Z (percutaneous), 0UPH71Z (via natural or artificial opening), 0UPH81Z (via natural or artificial opening endoscopic) and 0UPHX1Z (external).

With a different device, use 0UPH40Z (drainage device), 0UPH43Z (infusion device), 0UPH47Z (autologous tissue substitute), 0UPH4DZ (intraluminal device), 0UPH4JZ (synthetic substitute), 0UPH4KZ (nonautologous tissue substitute) and 1 more.

It is an operating-room procedure in the MS-DRG logic for DRG 746 (Vagina, Cervix and Vulva Procedures with CC/MCC) and DRG 747 (Vagina, Cervix and Vulva Procedures without CC/MCC), under the surgical category “Vagina, Cervix and Vulva Procedures”.

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
UFemale Reproductive System
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
HVagina and Cul-de-sac
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
1Radioactive Element

Includes: Brachytherapy seeds; CivaSheet(R)

7. Qualifier
ZNo Qualifier

Other versions of this procedure

Different body part

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

MDC 13 · Diseases and Disorders of the Female Reproductive System · Vagina, Cervix and Vulva Procedures

ICD-9-CM equivalent

Converter →
  • 70.12Culdotomyapproximate
  • 70.14Other vaginotomyapproximate

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 0UPH41Z

Is 0UPH41Z a valid ICD-10-PCS code for 2027?

Yes. 0UPH41Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0UPH41Z an O.R. procedure?

Yes. 0UPH41Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0UPH41Z group to?

Depending on the principal diagnosis, 0UPH41Z can group to MS-DRG 746 and MS-DRG 747.

What is the ICD-9 procedure code for 0UPH41Z?

The CMS GEMs map 0UPH41Z to ICD-9-CM 70.12 (Culdotomy) and 70.14 (Other vaginotomy).