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ICD-10-PCS 2027 procedure code

0PQ04ZZRepair Sternum, 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 0PQ04ZZ

0PQ04ZZ is the ICD-10-PCS code for a repair procedure on the sternum using a percutaneous endoscopic approach. In ICD-10-PCS, repair means restoring, to the extent possible, a body part to its normal anatomic structure and function.

In plain terms, this corresponds to other repair or plastic operations on bone, scapula, clavicle, and thorax [ribs and sternum], the ICD-9-CM procedure title it maps to (78.41).

For a different body part, codes include 0PQ14ZZ (ribs, 1 to 2), 0PQ24ZZ (ribs, 3 or more), 0PQ34ZZ (cervical vertebra), 0PQ44ZZ (thoracic vertebra), 0PQ54ZZ (right scapula), 0PQ64ZZ (left scapula) and 20 more.

The same procedure with a different approach is coded 0PQ00ZZ (open), 0PQ03ZZ (percutaneous) and 0PQ0XZZ (external).

It is an operating-room procedure in the MS-DRG logic for DRG 163 (Major Chest Procedures with MCC), DRG 164 (Major Chest Procedures with CC), DRG 165 (Major Chest Procedures without CC/MCC), 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 categories “Major Chest Procedures”, “Other Musculoskeletal System and Connective Tissue O.R. Procedures” and “Other O.R. Procedures for Injuries”.

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
QRepair

Restoring, to the extent possible, a body part to its normal anatomic structure and function

Used only when the method to accomplish the repair is not one of the other root operations

Includes: Colostomy takedown, suture of laceration

4. Body Part
0Sternum

Includes: Manubrium; Suprasternal notch; Xiphoid process

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 →
  • 78.41Other repair or plastic operations on bone, scapula, clavicle, and thorax [ribs and sternum]approximate

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 0PQ04ZZ

Is 0PQ04ZZ a valid ICD-10-PCS code for 2027?

Yes. 0PQ04ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0PQ04ZZ an O.R. procedure?

Yes. 0PQ04ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0PQ04ZZ group to?

Depending on the principal diagnosis, 0PQ04ZZ can group to MS-DRG 163, MS-DRG 164, MS-DRG 165, MS-DRG 515, MS-DRG 516 and MS-DRG 517.

What is the ICD-9 procedure code for 0PQ04ZZ?

The CMS GEMs map 0PQ04ZZ to ICD-9-CM 78.41 (Other repair or plastic operations on bone, scapula, clavicle, and thorax [ribs and sternum]).