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Inpatient Procedure Code

0PH234Z ICD-10-PCS Code: Insertion of Internal Fixation Device into 3 or More Ribs, Percutaneous Approach

Insertion of Int Fix into 3+ Ribs, Perc 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 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 Part2

Ribs, 3 or More

5
Approach3

Percutaneous

6
Device4

Internal Fixation Device

7
QualifierZ

No Qualifier

MS-DRG Grouper Relationships (FY2026)

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:

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.

0PH034Z — Insertion of Internal Fixation Device into Sternum, Percutaneous Approach, 0PH134Z — Insertion of Internal Fixation Device into 1 to 2 Ribs, Percutaneous Approach, 0PH334Z — Insertion of Internal Fixation Device into Cervical Vertebra, Percutaneous Approach, 0PH434Z — Insertion of Internal Fixation Device into Thoracic Vertebra, Percutaneous Approach, 0PH534Z — Insertion of Internal Fixation Device into Right Scapula, Percutaneous Approach, 0PH634Z — Insertion of Internal Fixation Device into Left Scapula, Percutaneous Approach, 0PH734Z — Insertion of Internal Fixation Device into Right Glenoid Cavity, Percutaneous Approach, 0PH834Z — Insertion of Internal Fixation Device into Left Glenoid Cavity, Percutaneous Approach, +18 more

Same operation — other Approach

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

0PH204Z — Insertion of Internal Fixation Device into 3 or More Ribs, Open Approach, 0PH244Z — Insertion of Internal Fixation Device into 3 or More Ribs, 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 0PH234Z 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 0PH234Z with these 5 related codes in Claim Check

PCS table

MS-DRG participation (12)

Clinical classification (CCSR)

MDC crossing · diagnoses (32416)

  • 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 · FY2026
  • 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 · FY2026
  • 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) · FY2026
  • 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) · FY2026
  • 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) · FY2026
  • 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) · FY2026
  • 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) · FY2026
  • and 32411 more

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