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Inpatient Procedure Code

0PPN34Z ICD-10-PCS Code: Removal of Internal Fixation Device from Left Carpal, Percutaneous Approach

Removal of Int Fix from L Carpal, 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 PartN

Carpal, Left

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 7 MS-DRGs:

  • MDC 08 — Local Excision and Removal of Internal Fixation Devices Except Hip and Femur: DRG 495, DRG 496, DRG 497
  • MDC 21 — Hand Procedures for Injuries: DRG 906
  • 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.

0PPJ34Z — Removal of Internal Fixation Device from Left Radius, Percutaneous Approach, 0PPK34Z — Removal of Internal Fixation Device from Right Ulna, Percutaneous Approach, 0PPL34Z — Removal of Internal Fixation Device from Left Ulna, Percutaneous Approach, 0PPM34Z — Removal of Internal Fixation Device from Right Carpal, Percutaneous Approach, 0PPP34Z — Removal of Internal Fixation Device from Right Metacarpal, Percutaneous Approach, 0PPQ34Z — Removal of Internal Fixation Device from Left Metacarpal, Percutaneous Approach, 0PPR34Z — Removal of Internal Fixation Device from Right Thumb Phalanx, Percutaneous Approach, 0PPS34Z — Removal of Internal Fixation Device from Left Thumb Phalanx, Percutaneous Approach, +18 more

Same operation — other Approach

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

0PPN04Z — Removal of Internal Fixation Device from Left Carpal, Open Approach, 0PPN44Z — Removal of Internal Fixation Device from Left Carpal, Percutaneous Endoscopic Approach, 0PPNX4Z — Removal of Internal Fixation Device from Left Carpal, External Approach

Same operation — other Device

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

0PPN35Z — Removal of External Fixation Device from Left Carpal, Percutaneous Approach, 0PPN37Z — Removal of Autologous Tissue Substitute from Left Carpal, Percutaneous Approach, 0PPN3JZ — Removal of Synthetic Substitute from Left Carpal, Percutaneous Approach, 0PPN3KZ — Removal of Nonautologous Tissue Substitute from Left Carpal, 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 0PPN34Z 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

MS-DRG participation

Clinical classification (CCSR)

MDC crossing · diagnoses (40463)

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.