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ICD-10-PCS 2027 procedure code

0UPH4KZRemoval of Nonautologous Tissue Substitute from Vagina and Cul-de-sac, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedureFemale only

Short description: Remove Nonaut Sub 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 0UPH4KZ

0UPH4KZ is the ICD-10-PCS code for a removal procedure on the vagina and cul-de-sac 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 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 0UP84KZ (fallopian tube) and 0UPD4KZ (uterus and cervix).

The same procedure with a different approach is coded 0UPH0KZ (open), 0UPH3KZ (percutaneous), 0UPH7KZ (via natural or artificial opening) and 0UPH8KZ (via natural or artificial opening endoscopic).

With a different device, use 0UPH40Z (drainage device), 0UPH41Z (radioactive element), 0UPH43Z (infusion device), 0UPH47Z (autologous tissue substitute), 0UPH4DZ (intraluminal device), 0UPH4JZ (synthetic 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
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

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 0UPH4KZ

Is 0UPH4KZ a valid ICD-10-PCS code for 2027?

Yes. 0UPH4KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0UPH4KZ an O.R. procedure?

Yes. 0UPH4KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0UPH4KZ group to?

Depending on the principal diagnosis, 0UPH4KZ can group to MS-DRG 746 and MS-DRG 747.

What is the ICD-9 procedure code for 0UPH4KZ?

The CMS GEMs map 0UPH4KZ to ICD-9-CM 70.12 (Culdotomy) and 70.14 (Other vaginotomy).