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ICD-10-PCS 2027 procedure code

0PUG3KZSupplement Left Humeral Shaft with Nonautologous Tissue Substitute, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Short description: Supplement Left Humeral Shaft with Nonaut Sub, Perc 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 0PUG3KZ

0PUG3KZ is the ICD-10-PCS code for a supplement procedure on the left humeral shaft using a percutaneous approach with nonautologous tissue substitute. In ICD-10-PCS, supplement means putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part.

In plain terms, this corresponds to bone graft, humerus, the ICD-9-CM procedure title it maps to (78.02).

For a different body part, codes include 0PU03KZ (sternum), 0PU13KZ (ribs, 1 to 2), 0PU23KZ (ribs, 3 or more), 0PU33KZ (cervical vertebra), 0PU43KZ (thoracic vertebra), 0PU53KZ (right scapula) and 20 more.

The same procedure with a different approach is coded 0PUG0KZ (open) and 0PUG4KZ (percutaneous endoscopic).

With a different device, use 0PUG37Z (autologous tissue substitute) and 0PUG3JZ (synthetic substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 492 (Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with MCC or Insertion of Antibiotic-eluting Bone Void Filler), DRG 493 (Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with CC), DRG 494 (Lower Extremity and Humerus Procedures Except Hip, Foot and Femur without CC/MCC), DRG 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC) and DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), under the surgical categories “Lower Extremity and Humerus Procedures Except Hip, Foot and Femur”, “Other O.R. 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
USupplement

Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part

The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced, and the Supplement procedure is performed to physically reinforce and/or augment the function of the replaced body part

Includes: Herniorrhaphy using mesh, mitral valve ring annuloplasty, put a new acetabular liner in a previous hip replacement

4. Body Part
GHumeral Shaft, Left

Includes: Distal humerus; Humerus, distal; Lateral epicondyle of humerus; Medial epicondyle of humerus

5. Approach
3Percutaneous

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure

6. Device
KNonautologous Tissue Substitute

Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft

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 →
  • 78.02Bone graft, humerusapproximate

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 0PUG3KZ

Is 0PUG3KZ a valid ICD-10-PCS code for 2027?

Yes. 0PUG3KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0PUG3KZ an O.R. procedure?

Yes. 0PUG3KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0PUG3KZ group to?

Depending on the principal diagnosis, 0PUG3KZ can group to MS-DRG 492, MS-DRG 493, MS-DRG 494, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0PUG3KZ?

The CMS GEMs map 0PUG3KZ to ICD-9-CM 78.02 (Bone graft, humerus).