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ICD-10-PCS 2027 procedure code

0PBN4ZZExcision of Left Carpal, Percutaneous Endoscopic 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 0PBN4ZZ

0PBN4ZZ is the ICD-10-PCS code for a excision procedure on the left carpal using a percutaneous endoscopic approach. In ICD-10-PCS, excision means cutting out or off, without replacement, a portion of a body part.

In plain terms, this corresponds to local excision of lesion or tissue of bone, unspecified site, local excision of lesion or tissue of bone, carpals and metacarpals and other partial ostectomy, carpals and metacarpals, the ICD-9-CM procedure titles it maps to (77.60, 77.64 and 77.84).

For a different body part, codes include 0PB04ZZ (sternum), 0PB14ZZ (ribs, 1 to 2), 0PB24ZZ (ribs, 3 or more), 0PB34ZZ (cervical vertebra), 0PB44ZZ (thoracic vertebra), 0PB54ZZ (right scapula) and 20 more.

The same procedure with a different approach is coded 0PBN0ZZ (open) and 0PBN3ZZ (percutaneous).

It is an operating-room procedure in the MS-DRG logic for DRG 513 (Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with CC/MCC), DRG 514 (Hand or Wrist Procedures, Except Major Thumb or Joint Procedures without CC/MCC), DRG 906 (Hand Procedures for Injuries), DRG 957 (Other O.R. Procedures for Multiple Significant Trauma with MCC), DRG 958 (Other O.R. Procedures for Multiple Significant Trauma with CC) and DRG 959 (Other O.R. Procedures for Multiple Significant Trauma without CC/MCC), under the surgical categories “Hand or Wrist Procedures, Except Major Thumb or Joint Procedures”, “Hand Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.

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
PUpper Bones
3. Operation
BExcision

Cutting out or off, without replacement, a portion of a body part

The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies

Includes: Partial nephrectomy, liver biopsy

4. Body Part
NCarpal, Left

Includes: Capitate bone; Hamate bone; Lunate bone; Pisiform bone; Scaphoid bone; Trapezium bone; Trapezoid bone; Triquetral bone

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
ZNo Device
7. Qualifier
ZNo Qualifier

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.

MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Hand or Wrist Procedures, Except Major Thumb or Joint Procedures

MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Hand Procedures for Injuries

ICD-9-CM equivalent

Converter →
  • 77.60Local excision of lesion or tissue of bone, unspecified siteapproximate
  • 77.64Local excision of lesion or tissue of bone, carpals and metacarpalsapproximate
  • 77.84Other partial ostectomy, carpals and metacarpalsapproximate

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 0PBN4ZZ

Is 0PBN4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0PBN4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0PBN4ZZ an O.R. procedure?

Yes. 0PBN4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0PBN4ZZ group to?

Depending on the principal diagnosis, 0PBN4ZZ can group to MS-DRG 513, MS-DRG 514, MS-DRG 906, MS-DRG 957, MS-DRG 958 and MS-DRG 959.

What is the ICD-9 procedure code for 0PBN4ZZ?

The CMS GEMs map 0PBN4ZZ to ICD-9-CM 77.60 (Local excision of lesion or tissue of bone, unspecified site), 77.64 (Local excision of lesion or tissue of bone, carpals and metacarpals) and 77.84 (Other partial ostectomy, carpals and metacarpals).