0PPK34Z ICD-10-PCS Code: Removal of Internal Fixation Device from Right Ulna, Percutaneous Approach
Removal of Int Fix from R Ulna, 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.
| 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 PartK | Ulna, Right |
| 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 9 MS-DRGs:
- MDC 08 — Local Excision and Removal of Internal Fixation Devices Except Hip and Femur: DRG 495, DRG 496, DRG 497
- 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 Body Part
Same table and root operation, differing only in the body part character.
0PPF34Z — Removal of Internal Fixation Device from Right Humeral Shaft, Percutaneous Approach, 0PPG34Z — Removal of Internal Fixation Device from Left Humeral Shaft, Percutaneous Approach, 0PPH34Z — Removal of Internal Fixation Device from Right Radius, Percutaneous Approach, 0PPJ34Z — Removal of Internal Fixation Device from Left Radius, Percutaneous Approach, 0PPL34Z — Removal of Internal Fixation Device from Left Ulna, Percutaneous Approach, 0PPM34Z — Removal of Internal Fixation Device from Right Carpal, Percutaneous Approach, 0PPN34Z — Removal of Internal Fixation Device from Left Carpal, Percutaneous Approach, 0PPP34Z — Removal of Internal Fixation Device from Right Metacarpal, Percutaneous Approach, +18 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
0PPK04Z — Removal of Internal Fixation Device from Right Ulna, Open Approach, 0PPK44Z — Removal of Internal Fixation Device from Right Ulna, Percutaneous Endoscopic Approach, 0PPKX4Z — Removal of Internal Fixation Device from Right Ulna, External Approach
Same operation — other Device
Same table and root operation, differing only in the device character.
0PPK35Z — Removal of External Fixation Device from Right Ulna, Percutaneous Approach, 0PPK37Z — Removal of Autologous Tissue Substitute from Right Ulna, Percutaneous Approach, 0PPK3JZ — Removal of Synthetic Substitute from Right Ulna, Percutaneous Approach, 0PPK3KZ — Removal of Nonautologous Tissue Substitute from Right Ulna, Percutaneous Approach
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Fixation of upper extremity bones (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.
0PHT34Z — Insertion of Internal Fixation Device into Right Finger Phalanx, Percutaneous Approach, 0PHT35Z — Insertion of External Fixation Device into Right Finger Phalanx, Percutaneous Approach, 0PHT44Z — Insertion of Internal Fixation Device into Right Finger Phalanx, Percutaneous Endoscopic Approach, 0PHT45Z — Insertion of External Fixation Device into Right Finger Phalanx, Percutaneous Endoscopic Approach, 0PHV04Z — Insertion of Internal Fixation Device into Left Finger Phalanx, Open Approach, 0PHV05Z — Insertion of External Fixation Device into Left Finger Phalanx, Open Approach, 0PHV34Z — Insertion of Internal Fixation Device into Left Finger Phalanx, Percutaneous Approach, 0PHV35Z — Insertion of External Fixation Device into Left Finger Phalanx, Percutaneous Approach, 0PHV44Z — Insertion of Internal Fixation Device into Left Finger Phalanx, Percutaneous Endoscopic Approach, 0PHV45Z — Insertion of External Fixation Device into Left Finger Phalanx, Percutaneous Endoscopic Approach, 0PS504Z — Reposition Right Scapula with Internal Fixation Device, Open Approach, 0PS50ZZ — Reposition Right Scapula, Open Approach, 0PS534Z — Reposition Right Scapula with Internal Fixation Device, Percutaneous Approach, 0PS53ZZ — Reposition Right Scapula, Percutaneous Approach, 0PS544Z — Reposition Right Scapula with Internal Fixation Device, Percutaneous Endoscopic Approach, 0PS54ZZ — Reposition Right Scapula, Percutaneous Endoscopic Approach, 0PS604Z — Reposition Left Scapula with Internal Fixation Device, Open Approach, 0PS60ZZ — Reposition Left Scapula, Open Approach, 0PS634Z — Reposition Left Scapula with Internal Fixation Device, Percutaneous Approach, 0PS63ZZ — Reposition Left Scapula, Percutaneous Approach, +630 more
Contextual Map
Every relationship of 0PPK34Z 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]
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”
- Upper Bones — Body System: Upper Bones[Body System]: “Upper Bones”
- Removal — Operation: Removal[Operation]: “Removal”
MS-DRG participation (9)
- 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)”
- DRG 957 — OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC[MS-DRG]: “OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC — Other O.R. Procedures for Multiple Significant Trauma (MDC 24)”
- DRG 958 — OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC[MS-DRG]: “OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC — Other O.R. Procedures for Multiple Significant Trauma (MDC 24)”
- and 1 more
Clinical classification (CCSR)
- MST009 — Fixation of upper extremity bones[CCSR category]: “Fixation of upper extremity bones — Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures”
MDC crossing · diagnoses (40463)
- 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.”
- MDC 21 — Injuries, Poisonings and Toxic Effects of Drugs[MDC crossing]: “Injuries, Poisonings and Toxic Effects of Drugs — 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.”
- A02.23 — Salmonella arthritis[Same-MDC diagnosis]: “Salmonella arthritis — grouped in MDC 08, the diagnosis side of this code's crossing.” · Check 0PPK34Z + A02.23 together
- A02.24 — Salmonella osteomyelitis[Same-MDC diagnosis]: “Salmonella osteomyelitis — grouped in MDC 08, the diagnosis side of this code's crossing.” · Check 0PPK34Z + A02.24 together
- A18.01 — Tuberculosis of spine[Same-MDC diagnosis]: “Tuberculosis of spine — grouped in MDC 08, the diagnosis side of this code's crossing.” · Check 0PPK34Z + A18.01 together
- A18.02 — Tuberculous arthritis of other joints[Same-MDC diagnosis]: “Tuberculous arthritis of other joints — grouped in MDC 08, the diagnosis side of this code's crossing.” · Check 0PPK34Z + A18.02 together
- A18.03 — Tuberculosis of other bones[Same-MDC diagnosis]: “Tuberculosis of other bones — grouped in MDC 08, the diagnosis side of this code's crossing.” · Check 0PPK34Z + A18.03 together
- and 40458 more
Nearest codes
- 0PP034Z — Removal of Internal Fixation Device from Sternum, Percutaneous Approach[One axis away]
- 0PP134Z — Removal of Internal Fixation Device from 1 to 2 Ribs, Percutaneous Approach[One axis away]
- 0PP234Z — Removal of Internal Fixation Device from 3 or More Ribs, Percutaneous Approach[One axis away]
- 0PP334Z — Removal of Internal Fixation Device from Cervical Vertebra, Percutaneous Approach[One axis away]
- 0PP434Z — Removal of Internal Fixation Device from Thoracic Vertebra, Percutaneous Approach[One axis away]
- 0PP534Z — Removal of Internal Fixation Device from Right Scapula, Percutaneous Approach[One axis away]
- 0PP634Z — Removal of Internal Fixation Device from Left Scapula, Percutaneous Approach[One axis away]
- 0PP734Z — Removal of Internal Fixation Device from Right Glenoid Cavity, Percutaneous Approach[One axis away]
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.