0PH040Z ICD-10-PCS Code: Insertion of Rigid Plate Internal Fixation Device into Sternum, Percutaneous Endoscopic Approach
Insert of Rigid Plate Fix into Sternum, 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.
| Position | Value | Meaning |
|---|---|---|
| 1 | Section0 | Medical and Surgical |
| 2 | Body SystemP | Upper 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 | Sternum |
| 5 | Approach4 | Percutaneous Endoscopic |
| 6 | Device0 | Internal Fixation Device, Rigid Plate |
| 7 | QualifierZ | No Qualifier |
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 12 MS-DRGs:
- MDC 04 — Major Chest Procedures: DRG 163, DRG 164, DRG 165
- MDC 08 — Other Musculoskeletal System and Connective Tissue O.R. Procedures: DRG 515, DRG 516, DRG 517
- MDC 21 — Other O.R. Procedures for Injuries: DRG 907, DRG 908, DRG 909
- MDC 24 — Other O.R. Procedures for Multiple Significant Trauma: DRG 957, DRG 958, DRG 959
From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.
Related Codes
Same operation — other Approach
Same table and root operation, differing only in the approach character.
0PH000Z — Insertion of Rigid Plate Internal Fixation Device into Sternum, Open Approach, 0PH030Z — Insertion of Rigid Plate Internal Fixation Device into Sternum, Percutaneous Approach
Same operation — other Device
Same table and root operation, differing only in the device character.
0PH044Z — Insertion of Internal Fixation Device into Sternum, 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.
0NWBX4Z — Revision of Internal Fixation Device in Nasal Bone, External Approach, 0NWBX5Z — Revision of External Fixation Device in Nasal Bone, External Approach, 0NWW04Z — Revision of Internal Fixation Device in Facial Bone, Open Approach, 0NWW05Z — Revision of External Fixation Device in Facial Bone, Open Approach, 0NWW34Z — Revision of Internal Fixation Device in Facial Bone, Percutaneous Approach, 0NWW35Z — Revision of External Fixation Device in Facial Bone, Percutaneous Approach, 0NWW44Z — Revision of Internal Fixation Device in Facial Bone, Percutaneous Endoscopic Approach, 0NWW45Z — Revision of External Fixation Device in Facial Bone, Percutaneous Endoscopic Approach, 0NWWX4Z — Revision of Internal Fixation Device in Facial Bone, External Approach, 0NWWX5Z — Revision of External Fixation Device in Facial Bone, External Approach, 0PP004Z — Removal of Internal Fixation Device from Sternum, Open Approach, 0PP034Z — Removal of Internal Fixation Device from Sternum, Percutaneous Approach, 0PP044Z — Removal of Internal Fixation Device from Sternum, Percutaneous Endoscopic Approach, 0PP0X4Z — Removal of Internal Fixation Device from Sternum, External Approach, 0PP104Z — Removal of Internal Fixation Device from 1 to 2 Ribs, Open Approach, 0PP134Z — Removal of Internal Fixation Device from 1 to 2 Ribs, Percutaneous Approach, 0PP144Z — Removal of Internal Fixation Device from 1 to 2 Ribs, Percutaneous Endoscopic Approach, 0PP1X4Z — Removal of Internal Fixation Device from 1 to 2 Ribs, External Approach, 0PP204Z — Removal of Internal Fixation Device from 3 or More Ribs, Open Approach, 0PP234Z — Removal of Internal Fixation Device from 3 or More Ribs, Percutaneous Approach, +540 more
Contextual Map
Every relationship of 0PH040Z 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 0PH040Z with these 5 related codes in Claim Check
PCS table
- 0PH[PCS table]— CMS ICD-10-PCS tables
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
- Upper Bones — Body System: Upper Bones[Body System]: “Upper Bones”— CMS ICD-10-PCS tables
- Insertion — Operation: Insertion[Operation]: “Insertion”— CMS ICD-10-PCS tables
MS-DRG participation (12)
- DRG 163 — MAJOR CHEST PROCEDURES WITH MCC[MS-DRG]: “MAJOR CHEST PROCEDURES WITH MCC — Major Chest Procedures (MDC 04)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 164 — MAJOR CHEST PROCEDURES WITH CC[MS-DRG]: “MAJOR CHEST PROCEDURES WITH CC — Major Chest Procedures (MDC 04)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 165 — MAJOR CHEST PROCEDURES WITHOUT CC/MCC[MS-DRG]: “MAJOR CHEST PROCEDURES WITHOUT CC/MCC — Major Chest Procedures (MDC 04)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 515 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC[MS-DRG]: “OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC — Other Musculoskeletal System and Connective Tissue O.R. Procedures (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 516 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC[MS-DRG]: “OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC — Other Musculoskeletal System and Connective Tissue O.R. Procedures (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 517 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC[MS-DRG]: “OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC — Other Musculoskeletal System and Connective Tissue O.R. Procedures (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 907 — OTHER O.R. PROCEDURES FOR INJURIES WITH MCC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH MCC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 908 — OTHER O.R. PROCEDURES FOR INJURIES WITH CC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH CC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- and 4 more
Clinical classification (CCSR)
- MST012 — Bone fixation (excluding extremities)[CCSR category]: “Bone fixation (excluding extremities) — Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
MDC crossing · diagnoses (32474)
- 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 32469 more
Nearest codes
- 0PH000Z — Insertion of Rigid Plate Internal Fixation Device into Sternum, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0PH030Z — Insertion of Rigid Plate Internal Fixation Device into Sternum, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0PH044Z — Insertion of Internal Fixation Device into Sternum, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
Change history
No changes recorded for this code. This ledger tracks additions, deletions and description changes from FY2016 onward. Note changes are not tracked.
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