0PPQ04Z

Potential MS-DRG Relationships (FY2026)

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.

0PPL04Z — Removal of Internal Fixation Device from Left Ulna, Open Approach, 0PPM04Z — Removal of Internal Fixation Device from Right Carpal, Open Approach, 0PPN04Z — Removal of Internal Fixation Device from Left Carpal, Open Approach, 0PPP04Z — Removal of Internal Fixation Device from Right Metacarpal, Open Approach, 0PPR04Z — Removal of Internal Fixation Device from Right Thumb Phalanx, Open Approach, 0PPS04Z — Removal of Internal Fixation Device from Left Thumb Phalanx, Open Approach, 0PPT04Z — Removal of Internal Fixation Device from Right Finger Phalanx, Open Approach, 0PPV04Z — Removal of Internal Fixation Device from Left Finger Phalanx, Open Approach, +18 more

Same operation — other Approach

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

0PPQ34Z — Removal of Internal Fixation Device from Left Metacarpal, Percutaneous Approach, 0PPQ44Z — Removal of Internal Fixation Device from Left Metacarpal, Percutaneous Endoscopic Approach, 0PPQX4Z — Removal of Internal Fixation Device from Left Metacarpal, External Approach

Same operation — other Device

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

0PPQ05Z — Removal of External Fixation Device from Left Metacarpal, Open Approach, 0PPQ07Z — Removal of Autologous Tissue Substitute from Left Metacarpal, Open Approach, 0PPQ0JZ — Removal of Synthetic Substitute from Left Metacarpal, Open Approach, 0PPQ0KZ — Removal of Nonautologous Tissue Substitute from Left Metacarpal, Open Approach

Contextual Map

Every relationship of 0PPQ04Z 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]
• [object Object] — Section: [object Object] [Section]: “[object Object]”
• [object Object] — Body System: [object Object] [Body System]: “[object Object]”
• [object Object] — Operation: [object Object] [Operation]: “[object Object]”

MS-DRG participation

• 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 906 — HAND PROCEDURES FOR INJURIES [MS-DRG]: “HAND PROCEDURES FOR INJURIES — Hand 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)”
• DRG 959 — OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC [MS-DRG]: “OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC — Other O.R. Procedures for Multiple Significant Trauma (MDC 24)”

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 together
• A02.24 — Salmonella osteomyelitis [Same-MDC diagnosis]: “Salmonella osteomyelitis — grouped in MDC 08, the diagnosis side of this code's crossing.” · check 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 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 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 together
• and 40458 more

Nearest codes

• 0PP004Z — Removal of Internal Fixation Device from Sternum, Open Approach [One axis away]
• 0PP104Z — Removal of Internal Fixation Device from 1 to 2 Ribs, Open Approach [One axis away]
• 0PP204Z — Removal of Internal Fixation Device from 3 or More Ribs, Open Approach [One axis away]
• 0PP304Z — Removal of Internal Fixation Device from Cervical Vertebra, Open Approach [One axis away]
• 0PP404Z — Removal of Internal Fixation Device from Thoracic Vertebra, Open Approach [One axis away]
• 0PP504Z — Removal of Internal Fixation Device from Right Scapula, Open Approach [One axis away]
• 0PP604Z — Removal of Internal Fixation Device from Left Scapula, Open Approach [One axis away]
• 0PP704Z — Removal of Internal Fixation Device from Right Glenoid Cavity, Open Approach [One axis away]