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ICD-10-PCS/0PP/0PP23JZ
Inpatient Procedure Code

0PP23JZ

Removal of Synthetic Substitute from 3 or More Ribs, Percutaneous Approach

Removal of Synthetic Substitute from 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 OperationP

Removal

Taking out or off a device from a body part

4
Body Part2

Ribs, 3 or More

5
Approach3

Percutaneous

6
DeviceJ

Synthetic Substitute

7
QualifierZ

No Qualifier

Potential MS-DRG Relationships (FY2026)

The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 6 MS-DRGs:

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

Contextual Map

Every relationship of 0PP23JZ 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

  • 0PP[PCS table]
  • [object Object] — Section: [object Object] [Section]: “[object Object]”
  • [object Object] — Body System: [object Object] [Body System]: “[object Object]”
  • [object Object] — Operation: [object Object] [Operation]: “[object Object]”

MS-DRG participation

  • DRG 495 — LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC [MS-DRG]: “LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC — Local Excision and Removal of Internal Fixation Devices Except Hip and Femur (MDC 08)”
  • DRG 496 — LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC [MS-DRG]: “LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC — Local Excision and Removal of Internal Fixation Devices Except Hip and Femur (MDC 08)”
  • DRG 497 — LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC [MS-DRG]: “LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC — Local Excision and Removal of Internal Fixation Devices Except Hip and Femur (MDC 08)”
  • 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)”
  • 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)”
  • DRG 909 — OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC [MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC — Other O.R. Procedures for Injuries (MDC 21)”

Nearest codes

  • 0PP03JZ — Removal of Synthetic Substitute from Sternum, Percutaneous Approach [One axis away]
  • 0PP13JZ — Removal of Synthetic Substitute from 1 to 2 Ribs, Percutaneous Approach [One axis away]
  • 0PP20JZ — Removal of Synthetic Substitute from 3 or More Ribs, Open Approach [One axis away]
  • 0PP234Z — Removal of Internal Fixation Device from 3 or More Ribs, Percutaneous Approach [One axis away]
  • 0PP237Z — Removal of Autologous Tissue Substitute from 3 or More Ribs, Percutaneous Approach [One axis away]
  • 0PP23KZ — Removal of Nonautologous Tissue Substitute from 3 or More Ribs, Percutaneous Approach [One axis away]
  • 0PP24JZ — Removal of Synthetic Substitute from 3 or More Ribs, Percutaneous Endoscopic Approach [One axis away]
  • 0PP33JZ — Removal of Synthetic Substitute from Cervical Vertebra, Percutaneous Approach [One axis away]

Change history

No changes recorded for this code — unchanged since the FY2026 (April) baseline of the change ledger.