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ICD-10-PCS 2027 procedure code

0PPY40ZRemoval of Drainage Device from Upper Bone, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Drainage Device from Up Bone, 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 0PPY40Z

0PPY40Z is the ICD-10-PCS code for a removal procedure on the upper bone 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 removal of implanted devices from bone, unspecified site, the ICD-9-CM procedure title it maps to (78.60).

The same procedure with a different approach is coded 0PPY00Z (open), 0PPY30Z (percutaneous) and 0PPYX0Z (external).

With a different device, use 0PPY4MZ (bone growth stimulator).

It is an operating-room procedure in the MS-DRG logic for DRG 495 (Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with MCC), DRG 496 (Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with CC) and DRG 497 (Local Excision and Removal of Internal Fixation Devices Except Hip and Femur without CC/MCC), under the surgical category “Local Excision and Removal of Internal Fixation Devices Except Hip and Femur”.

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
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
YUpper 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
0Drainage Device

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

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 →
  • 78.60Removal of implanted devices from bone, unspecified siteapproximate

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 0PPY40Z

Is 0PPY40Z a valid ICD-10-PCS code for 2027?

Yes. 0PPY40Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0PPY40Z an O.R. procedure?

Yes. 0PPY40Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0PPY40Z group to?

Depending on the principal diagnosis, 0PPY40Z can group to MS-DRG 495, MS-DRG 496 and MS-DRG 497.

What is the ICD-9 procedure code for 0PPY40Z?

The CMS GEMs map 0PPY40Z to ICD-9-CM 78.60 (Removal of implanted devices from bone, unspecified site).