0PPV34Z ICD-10-PCS Code: Removal of Internal Fixation Device from Left Finger Phalanx, Percutaneous Approach

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 6 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

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.

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, 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, 0PPT34Z — Removal of Internal Fixation Device from Right Finger Phalanx, Percutaneous Approach, +18 more

Same operation — other Approach

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

0PPV04Z — Removal of Internal Fixation Device from Left Finger Phalanx, Open Approach, 0PPV44Z — Removal of Internal Fixation Device from Left Finger Phalanx, Percutaneous Endoscopic Approach, 0PPVX4Z — Removal of Internal Fixation Device from Left Finger Phalanx, External Approach

Same operation — other Device

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

0PPV35Z — Removal of External Fixation Device from Left Finger Phalanx, Percutaneous Approach, 0PPV37Z — Removal of Autologous Tissue Substitute from Left Finger Phalanx, Percutaneous Approach, 0PPV3JZ — Removal of Synthetic Substitute from Left Finger Phalanx, Percutaneous Approach, 0PPV3KZ — Removal of Nonautologous Tissue Substitute from Left Finger Phalanx, 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 0PPV34Z 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 0PPV34Z with these 5 related codes in Claim Check

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

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)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• 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)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• 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)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• 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)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• 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)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• 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)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026

Clinical classification (CCSR)

• MST009 — Fixation of upper extremity bones[CCSR category]: “Fixation of upper extremity bones — Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1

MDC crossing · diagnoses (31735)

• 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 31730 more

Nearest codes

• 0PP034Z — Removal of Internal Fixation Device from Sternum, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
• 0PP134Z — Removal of Internal Fixation Device from 1 to 2 Ribs, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
• 0PP234Z — Removal of Internal Fixation Device from 3 or More Ribs, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
• 0PP334Z — Removal of Internal Fixation Device from Cervical Vertebra, Percutaneous 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
• 0PP534Z — Removal of Internal Fixation Device from Right Scapula, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
• 0PP634Z — Removal of Internal Fixation Device from Left Scapula, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
• 0PP734Z — Removal of Internal Fixation Device from Right Glenoid Cavity, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables