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ICD-10-PCS 2027 procedure code

0XP640ZRemoval of Drainage Device from Right Upper Extremity, Percutaneous Endoscopic Approach

✓ Valid for 2027

Short description: Removal of Drain Dev from R Up Extrem, 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 0XP640Z

0XP640Z is the ICD-10-PCS code for a removal procedure on the right upper extremity 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 incision with removal of foreign body or device from skin and subcutaneous tissue, the ICD-9-CM procedure title it maps to (86.05).

For a different body part, codes include 0XP740Z (left upper extremity).

The same procedure with a different approach is coded 0XP600Z (open), 0XP630Z (percutaneous) and 0XP6X0Z (external).

With a different device, use 0XP641Z (radioactive element), 0XP643Z (infusion device), 0XP647Z (autologous tissue substitute), 0XP64JZ (synthetic substitute), 0XP64KZ (nonautologous tissue substitute) and 0XP64YZ (other device).

It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.

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
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
6Upper Extremity, 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
0Drainage Device

Includes: Cystostomy tube; Foley catheter; Percutaneous nephrostomy catheter; Thoracostomy tube

7. Qualifier
ZNo Qualifier

Other versions of this procedure

Different body part

ICD-9-CM equivalent

Converter →
  • 86.05Incision with removal of foreign body or device from skin and subcutaneous tissueapproximate

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 0XP640Z

Is 0XP640Z a valid ICD-10-PCS code for 2027?

Yes. 0XP640Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 0XP640Z?

The CMS GEMs map 0XP640Z to ICD-9-CM 86.05 (Incision with removal of foreign body or device from skin and subcutaneous tissue).