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ICD-10-PCS 2027 procedure code

0PNV4ZZRelease Left Finger Phalanx, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Release Left Finger Phalanx, 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 0PNV4ZZ

0PNV4ZZ is the ICD-10-PCS code for a release procedure on the left finger phalanx using a percutaneous endoscopic approach. In ICD-10-PCS, release means freeing a body part from an abnormal physical constraint by cutting or by the use of force.

In plain terms, this corresponds to other repair or plastic operations on bone, other bones, the ICD-9-CM procedure title it maps to (78.49).

For a different body part, codes include 0PN04ZZ (sternum), 0PN14ZZ (ribs, 1 to 2), 0PN24ZZ (ribs, 3 or more), 0PN34ZZ (cervical vertebra), 0PN44ZZ (thoracic vertebra), 0PN54ZZ (right scapula) and 20 more.

The same procedure with a different approach is coded 0PNV0ZZ (open) and 0PNV3ZZ (percutaneous).

It is an operating-room procedure in the MS-DRG logic for DRG 515 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC), DRG 516 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC) and DRG 517 (Other Musculoskeletal System and Connective Tissue O.R. Procedures without CC/MCC), under the surgical category “Other Musculoskeletal System and Connective Tissue O.R. 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
PUpper Bones
3. Operation
NRelease

Freeing a body part from an abnormal physical constraint by cutting or by the use of force

Some of the restraining tissue may be taken out but none of the body part is taken out

Includes: Adhesiolysis, carpal tunnel release

4. Body Part
VFinger Phalanx, Left
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

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 →
  • 78.49Other repair or plastic operations on bone, other bonesapproximate

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 0PNV4ZZ

Is 0PNV4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0PNV4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0PNV4ZZ an O.R. procedure?

Yes. 0PNV4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0PNV4ZZ group to?

Depending on the principal diagnosis, 0PNV4ZZ can group to MS-DRG 515, MS-DRG 516 and MS-DRG 517.

What is the ICD-9 procedure code for 0PNV4ZZ?

The CMS GEMs map 0PNV4ZZ to ICD-9-CM 78.49 (Other repair or plastic operations on bone, other bones).