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Inpatient Procedure Code

0NH045Z ICD-10-PCS Code: Insertion of External Fixation Device into Skull, Percutaneous Endoscopic Approach

Insertion of Ext Fix into Skull, Perc Endo Approach

Axis Breakdown

Every ICD-10-PCS code is exactly seven characters, one per axis. Each character's meaning is defined by its position in the code.

PositionValueMeaning
1
Section0

Medical and Surgical

2
Body SystemN

Head and Facial Bones

3
Root OperationH

Insertion

Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part

4
Body Part0

Skull

5
Approach4

Percutaneous Endoscopic

6
Device5

External Fixation Device

7
QualifierZ

No Qualifier

Related Codes

Same operation — other Body Part

Same table and root operation, differing only in the body part character.

0NHR45Z — Insertion of External Fixation Device into Maxilla, Percutaneous Endoscopic Approach, 0NHT45Z — Insertion of External Fixation Device into Right Mandible, Percutaneous Endoscopic Approach, 0NHV45Z — Insertion of External Fixation Device into Left Mandible, Percutaneous Endoscopic Approach

Same operation — other Approach

Same table and root operation, differing only in the approach character.

0NH005Z — Insertion of External Fixation Device into Skull, Open Approach, 0NH035Z — Insertion of External Fixation Device into Skull, Percutaneous Approach

Same operation — other Device

Same table and root operation, differing only in the device character.

0NH043Z — Insertion of Infusion Device into Skull, Percutaneous Endoscopic Approach, 0NH044Z — Insertion of Internal Fixation Device into Skull, Percutaneous Endoscopic Approach, 0NH04MZ — Insertion of Bone Growth Stimulator into Skull, Percutaneous Endoscopic Approach

Same procedure category (CCSR), other tables

AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Bone fixation (excluding extremities) (Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures); listed here are the members in other PCS tables. Source: Clinical Classifications Software Refined (CCSR), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, November 2025.

0NP004Z — Removal of Internal Fixation Device from Skull, Open Approach, 0NP005Z — Removal of External Fixation Device from Skull, Open Approach, 0NP034Z — Removal of Internal Fixation Device from Skull, Percutaneous Approach, 0NP035Z — Removal of External Fixation Device from Skull, Percutaneous Approach, 0NP044Z — Removal of Internal Fixation Device from Skull, Percutaneous Endoscopic Approach, 0NP045Z — Removal of External Fixation Device from Skull, Percutaneous Endoscopic Approach, 0NP0X4Z — Removal of Internal Fixation Device from Skull, External Approach, 0NP0X5Z — Removal of External Fixation Device from Skull, External Approach, 0NPB04Z — Removal of Internal Fixation Device from Nasal Bone, Open Approach, 0NPB05Z — Removal of External Fixation Device from Nasal Bone, Open Approach, 0NPB34Z — Removal of Internal Fixation Device from Nasal Bone, Percutaneous Approach, 0NPB35Z — Removal of External Fixation Device from Nasal Bone, Percutaneous Approach, 0NPB44Z — Removal of Internal Fixation Device from Nasal Bone, Percutaneous Endoscopic Approach, 0NPB45Z — Removal of External Fixation Device from Nasal Bone, Percutaneous Endoscopic Approach, 0NPBX4Z — Removal of Internal Fixation Device from Nasal Bone, External Approach, 0NPBX5Z — Removal of External Fixation Device from Nasal Bone, External Approach, 0NPW04Z — Removal of Internal Fixation Device from Facial Bone, Open Approach, 0NPW05Z — Removal of External Fixation Device from Facial Bone, Open Approach, 0NPW34Z — Removal of Internal Fixation Device from Facial Bone, Percutaneous Approach, 0NPW35Z — Removal of External Fixation Device from Facial Bone, Percutaneous Approach, +477 more

Contextual Map

Every relationship of 0NH045Z in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

PCS table

Clinical classification (CCSR)

Nearest codes

Change history

No changes recorded for this code. This ledger tracks additions, deletions and description changes from FY2026 (April) onward. Note changes are not tracked.

Read from: CMS ICD-10-PCS code tables, index and definitions — FY2026 (April); CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43; AHRQ HCUP Clinical Classifications Software Refined for ICD-10-PCS Procedures (hcup-us.ahrq.gov/toolssoftware/ccsr/PRCCSR_v2026-1.zip) — v2026.1. All data sources · How to read the labels