0PP4X4Z ICD-10-PCS Code: Removal of Internal Fixation Device from Thoracic Vertebra, External Approach
Removal of Int Fix from Thor Vertebra, Extern 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 OperationP | Removal Taking out or off a device from a body part |
| 4 | Body Part4 | Thoracic Vertebra |
| 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, 0PP2X4Z — Removal of Internal Fixation Device from 3 or More Ribs, External Approach, 0PP3X4Z — Removal of Internal Fixation Device from Cervical 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.
0PP404Z — Removal of Internal Fixation Device from Thoracic Vertebra, Open Approach, 0PP434Z — Removal of Internal Fixation Device from Thoracic Vertebra, Percutaneous Approach, 0PP444Z — Removal of Internal Fixation Device from Thoracic Vertebra, 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 0PP4X4Z 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]— 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
- Removal — Operation: Removal[Operation]: “Removal”— CMS ICD-10-PCS tables
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
Nearest codes
- 0PP0X4Z — Removal of Internal Fixation Device from Sternum, External Approach[One axis away]— CMS ICD-10-PCS tables
- 0PP1X4Z — Removal of Internal Fixation Device from 1 to 2 Ribs, External Approach[One axis away]— CMS ICD-10-PCS tables
- 0PP2X4Z — Removal of Internal Fixation Device from 3 or More Ribs, External Approach[One axis away]— CMS ICD-10-PCS tables
- 0PP3X4Z — Removal of Internal Fixation Device from Cervical Vertebra, External Approach[One axis away]— CMS ICD-10-PCS tables
- 0PP404Z — Removal of Internal Fixation Device from Thoracic Vertebra, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0PP434Z — Removal of Internal Fixation Device from Thoracic Vertebra, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0PP444Z — Removal of Internal Fixation Device from Thoracic Vertebra, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0PP5X4Z — Removal of Internal Fixation Device from Right Scapula, External 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