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Inpatient Procedure Code

0PB20ZX ICD-10-PCS Code: Excision of 3 or More Ribs, Open Approach, Diagnostic

Check this code on a claim

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 SystemP

Upper Bones

3
Root OperationB

Excision

Cutting out or off, without replacement, a portion of a body part

4
Body Part2

Ribs, 3 or More

5
Approach0

Open

6
DeviceZ

No Device

7
QualifierX

Diagnostic

MS-DRG Grouper Relationships (FY2027)

Potential MS-DRG participation — not a DRG assignment.

The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 19 MS-DRGs:

From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.

Related Codes

Same operation — other Body Part

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

0PB00ZX — Excision of Sternum, Open Approach, Diagnostic, 0PB10ZX — Excision of 1 to 2 Ribs, Open Approach, Diagnostic, 0PB30ZX — Excision of Cervical Vertebra, Open Approach, Diagnostic, 0PB40ZX — Excision of Thoracic Vertebra, Open Approach, Diagnostic, 0PB50ZX — Excision of Right Scapula, Open Approach, Diagnostic, 0PB60ZX — Excision of Left Scapula, Open Approach, Diagnostic, 0PB70ZX — Excision of Right Glenoid Cavity, Open Approach, Diagnostic, 0PB80ZX — Excision of Left Glenoid Cavity, Open Approach, Diagnostic, +18 more

Same operation — other Approach

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

0PB23ZX — Excision of 3 or More Ribs, Percutaneous Approach, Diagnostic, 0PB24ZX — Excision of 3 or More Ribs, Percutaneous Endoscopic Approach, Diagnostic

Same operation — other Qualifier

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

0PB20ZZ — Excision of 3 or More Ribs, Open Approach

Same procedure category (CCSR), other tables

AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Bone and joint biopsy (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.

0P9R4ZX — Drainage of Right Thumb Phalanx, Percutaneous Endoscopic Approach, Diagnostic, 0P9S0ZX — Drainage of Left Thumb Phalanx, Open Approach, Diagnostic, 0P9S3ZX — Drainage of Left Thumb Phalanx, Percutaneous Approach, Diagnostic, 0P9S4ZX — Drainage of Left Thumb Phalanx, Percutaneous Endoscopic Approach, Diagnostic, 0P9T0ZX — Drainage of Right Finger Phalanx, Open Approach, Diagnostic, 0P9T3ZX — Drainage of Right Finger Phalanx, Percutaneous Approach, Diagnostic, 0P9T4ZX — Drainage of Right Finger Phalanx, Percutaneous Endoscopic Approach, Diagnostic, 0P9V0ZX — Drainage of Left Finger Phalanx, Open Approach, Diagnostic, 0P9V3ZX — Drainage of Left Finger Phalanx, Percutaneous Approach, Diagnostic, 0P9V4ZX — Drainage of Left Finger Phalanx, Percutaneous Endoscopic Approach, Diagnostic, 0PJY0ZZ — Inspection of Upper Bone, Open Approach, 0PJY3ZZ — Inspection of Upper Bone, Percutaneous Approach, 0PJY4ZZ — Inspection of Upper Bone, Percutaneous Endoscopic Approach, 0PJYXZZ — Inspection of Upper Bone, External Approach, 0Q900ZX — Drainage of Lumbar Vertebra, Open Approach, Diagnostic, 0Q903ZX — Drainage of Lumbar Vertebra, Percutaneous Approach, Diagnostic, 0Q904ZX — Drainage of Lumbar Vertebra, Percutaneous Endoscopic Approach, Diagnostic, 0Q910ZX — Drainage of Sacrum, Open Approach, Diagnostic, 0Q913ZX — Drainage of Sacrum, Percutaneous Approach, Diagnostic, 0Q914ZX — Drainage of Sacrum, Percutaneous Endoscopic Approach, Diagnostic, +828 more

Contextual Map

Every relationship of 0PB20ZX 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.

Run 0PB20ZX with these 5 related codes in Claim Check

PCS table

MS-DRG participation (19)

Clinical classification (CCSR)

  • MST002 — Bone and joint biopsy[CCSR category]: “Bone and joint biopsy — Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1

MDC crossing · diagnoses (31490)

  • MDC 04 — Diseases and Disorders of the Respiratory System[MDC crossing]: “Diseases and Disorders of the Respiratory System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2027
  • MDC 08 — Diseases and Disorders of the Musculoskeletal System and Connective Tissue[MDC crossing]: “Diseases and Disorders of the Musculoskeletal System and Connective Tissue — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2027
  • A02.22 — Salmonella pneumonia[Same-MDC diagnosis]: “Salmonella pneumonia — grouped in MDC 04, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
  • A06.5 — Amebic lung abscess[Same-MDC diagnosis]: “Amebic lung abscess — grouped in MDC 04, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
  • A15.0 — Tuberculosis of lung[Same-MDC diagnosis]: “Tuberculosis of lung — grouped in MDC 04, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
  • A15.4 — Tuberculosis of intrathoracic lymph nodes[Same-MDC diagnosis]: “Tuberculosis of intrathoracic lymph nodes — grouped in MDC 04, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
  • A15.5 — Tuberculosis of larynx, trachea and bronchus[Same-MDC diagnosis]: “Tuberculosis of larynx, trachea and bronchus — grouped in MDC 04, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
  • and 31485 more

Nearest codes

Change history

Change history

  • FY2018 — October 1, 2017
    Description revised
    Excision of Left Rib, Open Approach, Diagnostic → Excision of 3 or More Ribs, Open Approach, Diagnostic
    FY2018 changes

Read from: CMS ICD-10-PCS code tables, index and definitions — FY2027; CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44; 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 · How MedCoder verifies its implementation

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources