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Inpatient Procedure Code

0PPN47Z ICD-10-PCS Code: Removal of Autologous Tissue Substitute from Left Carpal, Percutaneous Endoscopic Approach

Removal of Autol Sub from L Carpal, Perc Endo 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
Approach4

Percutaneous Endoscopic

6
Device7

Autologous Tissue Substitute

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.

0PPJ47Z — Removal of Autologous Tissue Substitute from Left Radius, Percutaneous Endoscopic Approach, 0PPK47Z — Removal of Autologous Tissue Substitute from Right Ulna, Percutaneous Endoscopic Approach, 0PPL47Z — Removal of Autologous Tissue Substitute from Left Ulna, Percutaneous Endoscopic Approach, 0PPM47Z — Removal of Autologous Tissue Substitute from Right Carpal, Percutaneous Endoscopic Approach, 0PPP47Z — Removal of Autologous Tissue Substitute from Right Metacarpal, Percutaneous Endoscopic Approach, 0PPQ47Z — Removal of Autologous Tissue Substitute from Left Metacarpal, Percutaneous Endoscopic Approach, 0PPR47Z — Removal of Autologous Tissue Substitute from Right Thumb Phalanx, Percutaneous Endoscopic Approach, 0PPS47Z — Removal of Autologous Tissue Substitute from Left Thumb Phalanx, Percutaneous Endoscopic Approach, +18 more

Same operation — other Approach

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

0PPN07Z — Removal of Autologous Tissue Substitute from Left Carpal, Open Approach, 0PPN37Z — Removal of Autologous Tissue Substitute from Left Carpal, Percutaneous Approach

Same operation — other Device

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

0PPN44Z — Removal of Internal Fixation Device from Left Carpal, Percutaneous Endoscopic Approach, 0PPN45Z — Removal of External Fixation Device from Left Carpal, Percutaneous Endoscopic Approach, 0PPN4JZ — Removal of Synthetic Substitute from Left Carpal, Percutaneous Endoscopic Approach, 0PPN4KZ — Removal of Nonautologous Tissue Substitute from Left Carpal, 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 Musculoskeletal device procedures, NEC (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.

+4768 more

Contextual Map

Every relationship of 0PPN47Z 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.

Run 0PPN47Z with these 5 related codes in Claim Check

PCS table

MS-DRG participation

Clinical classification (CCSR)

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.”— CMS MS-DRG Definitions Manual · FY2026
  • 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.”— CMS MS-DRG Definitions Manual · FY2026
  • A02.23 — Salmonella arthritis[Same-MDC diagnosis]: “Salmonella arthritis — grouped in MDC 08, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
  • A02.24 — Salmonella osteomyelitis[Same-MDC diagnosis]: “Salmonella osteomyelitis — grouped in MDC 08, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
  • A18.01 — Tuberculosis of spine[Same-MDC diagnosis]: “Tuberculosis of spine — grouped in MDC 08, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
  • 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.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
  • 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.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
  • and 40458 more

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.

Read from: CMS ICD-10-PCS code tables, index and definitions — FY2026 (April); CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43; 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