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ICD-10-PCS 2027 procedure code

0X690Z2Detachment at Left Upper Arm, Mid, Open Approach

✓ Valid for 2027O.R. procedure

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 0X690Z2

0X690Z2 is the ICD-10-PCS code for a detachment procedure on the left upper arm using an open approach (qualifier: mid). In ICD-10-PCS, detachment means cutting off all or a portion of the upper or lower extremities.

In plain terms, this corresponds to amputation through humerus, the ICD-9-CM procedure title it maps to (84.07).

For a different body part, codes include 0X680Z2 (right upper arm), 0X6D0Z2 (right lower arm), 0X6F0Z2 (left lower arm), 0X6N0Z2 (right index finger), 0X6P0Z2 (left index finger), 0X6Q0Z2 (right middle finger) and 5 more.

It is an operating-room procedure in the MS-DRG logic for DRG 255 (Upper Limb and Toe Amputation for Circulatory System Disorders with MCC), DRG 256 (Upper Limb and Toe Amputation for Circulatory System Disorders with CC), DRG 257 (Upper Limb and Toe Amputation for Circulatory System Disorders without CC/MCC), DRG 474 (Amputation for Musculoskeletal System and Connective Tissue Disorders with MCC or Insertion of Antibiotic-eluting Bone Void Filler), DRG 475 (Amputation for Musculoskeletal System and Connective Tissue Disorders with CC) and DRG 476 (Amputation for Musculoskeletal System and Connective Tissue Disorders without CC/MCC), under the surgical categories “Upper Limb and Toe Amputation for Circulatory System Disorders”, “Amputation for Musculoskeletal System and Connective Tissue Disorders”, “Other Skin, Subcutaneous Tissue and Breast Procedures” and 2 more.

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
XAnatomical Regions, Upper Extremities
3. Operation
6Detachment

Cutting off all or a portion of the upper or lower extremities

The body part value is the site of the detachment, with a qualifier if applicable to further specify the level where the extremity was detached

Includes: Below knee amputation, disarticulation of shoulder

4. Body Part
9Upper Arm, Left
5. Approach
0Open

Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

6. Device
ZNo Device
7. Qualifier
2Mid

Other versions of this procedure

Different qualifier

MS-DRG v44.0 grouping

All DRGs →

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

ICD-9-CM equivalent

Converter →
  • 84.07Amputation through humerusapproximate

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 0X690Z2

Is 0X690Z2 a valid ICD-10-PCS code for 2027?

Yes. 0X690Z2 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0X690Z2 an O.R. procedure?

Yes. 0X690Z2 is an O.R. procedure in MS-DRG v44.0.

What DRG does 0X690Z2 group to?

Depending on the principal diagnosis, 0X690Z2 can group to MS-DRG 255, MS-DRG 256, MS-DRG 257, MS-DRG 474, MS-DRG 475 and MS-DRG 476.

What is the ICD-9 procedure code for 0X690Z2?

The CMS GEMs map 0X690Z2 to ICD-9-CM 84.07 (Amputation through humerus).