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Inpatient Procedure Code

0PP2X4Z ICD-10-PCS Code: Removal of Internal Fixation Device from 3 or More Ribs, External Approach

Removal of Int Fix from 3+ Ribs, Extern Approach

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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
ApproachX

External

6
Device4

Internal 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.

0PP0X4Z — Removal of Internal Fixation Device from Sternum, External Approach, 0PP1X4Z — Removal of Internal Fixation Device from 1 to 2 Ribs, External Approach, 0PP3X4Z — Removal of Internal Fixation Device from Cervical Vertebra, External Approach, 0PP4X4Z — Removal of Internal Fixation Device from Thoracic Vertebra, External Approach, 0PP5X4Z — Removal of Internal Fixation Device from Right Scapula, External Approach, 0PP6X4Z — Removal of Internal Fixation Device from Left Scapula, External Approach, 0PP7X4Z — Removal of Internal Fixation Device from Right Glenoid Cavity, External Approach, 0PP8X4Z — Removal of Internal Fixation Device from Left Glenoid Cavity, External Approach, +18 more

Same operation — other Approach

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

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, 0PP244Z — Removal of Internal Fixation Device from 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.

0PH144Z — Insertion of Internal Fixation Device into 1 to 2 Ribs, Percutaneous Endoscopic Approach, 0PH204Z — Insertion of Internal Fixation Device into 3 or More Ribs, Open Approach, 0PH234Z — Insertion of Internal Fixation Device into 3 or More Ribs, Percutaneous Approach, 0PH244Z — Insertion of Internal Fixation Device into 3 or More Ribs, Percutaneous Endoscopic Approach, 0PH304Z — Insertion of Internal Fixation Device into Cervical Vertebra, Open Approach, 0PH334Z — Insertion of Internal Fixation Device into Cervical Vertebra, Percutaneous Approach, 0PH344Z — Insertion of Internal Fixation Device into Cervical Vertebra, Percutaneous Endoscopic Approach, 0PH404Z — Insertion of Internal Fixation Device into Thoracic Vertebra, Open Approach, 0PH434Z — Insertion of Internal Fixation Device into Thoracic Vertebra, Percutaneous Approach, 0PH444Z — Insertion of Internal Fixation Device into Thoracic Vertebra, Percutaneous Endoscopic Approach, 0PS000Z — Reposition Sternum with Rigid Plate Internal Fixation Device, Open Approach, 0PS004Z — Reposition Sternum with Internal Fixation Device, Open Approach, 0PS00ZZ — Reposition Sternum, Open Approach, 0PS030Z — Reposition Sternum with Rigid Plate Internal Fixation Device, Percutaneous Approach, 0PS034Z — Reposition Sternum with Internal Fixation Device, Percutaneous Approach, 0PS03ZZ — Reposition Sternum, Percutaneous Approach, 0PS040Z — Reposition Sternum with Rigid Plate Internal Fixation Device, Percutaneous Endoscopic Approach, 0PS044Z — Reposition Sternum with Internal Fixation Device, Percutaneous Endoscopic Approach, 0PS04ZZ — Reposition Sternum, Percutaneous Endoscopic Approach, 0PS104Z — Reposition 1 to 2 Ribs with Internal Fixation Device, Open Approach, +538 more

Contextual Map

Every relationship of 0PP2X4Z 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

Change history

  • FY2018 — October 1, 2017
    Description revised
    Removal of Internal Fixation Device from Left Rib, External Approach → Removal of Internal Fixation Device from 3 or More Ribs, External Approach
    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