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Inpatient Procedure Code

0PS040Z

Reposition Sternum with Rigid Plate Internal Fixation Device, Percutaneous Endoscopic Approach

Reposition Sternum with Rigid Plate Fix, 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 OperationS

Reposition

Moving to its normal location, or other suitable location, all or a portion of a body part

4
Body Part0

Sternum

5
Approach4

Percutaneous Endoscopic

6
Device0

Internal Fixation Device, Rigid Plate

7
QualifierZ

No Qualifier

Potential MS-DRG Relationships (FY2026)

The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 13 MS-DRGs:

From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.

Related Codes

Same operation — other Approach

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

0PS000Z — Reposition Sternum with Rigid Plate Internal Fixation Device, Open Approach, 0PS030Z — Reposition Sternum with Rigid Plate Internal Fixation Device, Percutaneous Approach

Same operation — other Device

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

0PS044Z — Reposition Sternum with Internal Fixation Device, Percutaneous Endoscopic Approach, 0PS04ZZ — Reposition Sternum, Percutaneous Endoscopic Approach

Contextual Map

Every relationship of 0PS040Z 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

  • 0PS[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 (13)

  • DRG 166 — OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC [MS-DRG]: “OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC — Other Respiratory System O.R. Procedures (MDC 04)”
  • DRG 167 — OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC [MS-DRG]: “OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC — Other Respiratory System O.R. Procedures (MDC 04)”
  • DRG 168 — OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC [MS-DRG]: “OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC — Other Respiratory System O.R. Procedures (MDC 04)”
  • DRG 264 — OTHER CIRCULATORY SYSTEM O.R. PROCEDURES [MS-DRG]: “OTHER CIRCULATORY SYSTEM O.R. PROCEDURES — Other Circulatory System O.R. Procedures (MDC 05)”
  • DRG 515 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC [MS-DRG]: “OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC — Other Musculoskeletal System and Connective Tissue O.R. Procedures (MDC 08)”
  • DRG 516 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC [MS-DRG]: “OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC — Other Musculoskeletal System and Connective Tissue O.R. Procedures (MDC 08)”
  • DRG 517 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC [MS-DRG]: “OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC — Other Musculoskeletal System and Connective Tissue O.R. Procedures (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)”
  • and 5 more

MDC crossing · diagnoses (34260)

  • MDC 04 — Diseases and Disorders of the Respiratory System [MDC crossing]: “Diseases and Disorders of the Respiratory System — 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 05 — Diseases and Disorders of the Circulatory System [MDC crossing]: “Diseases and Disorders of the Circulatory System — 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.”
  • A02.22 — Salmonella pneumonia [Same-MDC diagnosis]: “Salmonella pneumonia — grouped in MDC 04, the diagnosis side of this code's crossing.” · check together
  • A06.5 — Amebic lung abscess [Same-MDC diagnosis]: “Amebic lung abscess — grouped in MDC 04, the diagnosis side of this code's crossing.” · check together
  • A15.0 — Tuberculosis of lung [Same-MDC diagnosis]: “Tuberculosis of lung — grouped in MDC 04, the diagnosis side of this code's crossing.” · check together
  • A15.4 — Tuberculosis of intrathoracic lymph nodes [Same-MDC diagnosis]: “Tuberculosis of intrathoracic lymph nodes — grouped in MDC 04, the diagnosis side of this code's crossing.” · check together
  • A15.5 — Tuberculosis of larynx, trachea and bronchus [Same-MDC diagnosis]: “Tuberculosis of larynx, trachea and bronchus — grouped in MDC 04, the diagnosis side of this code's crossing.” · check together
  • and 34255 more

Nearest codes

  • 0PS000Z — Reposition Sternum with Rigid Plate Internal Fixation Device, Open Approach [One axis away]
  • 0PS030Z — Reposition Sternum with Rigid Plate Internal Fixation Device, Percutaneous Approach [One axis away]
  • 0PS044Z — Reposition Sternum with Internal Fixation Device, Percutaneous Endoscopic Approach [One axis away]
  • 0PS04ZZ — Reposition Sternum, Percutaneous Endoscopic Approach [One axis away]

Change history

No changes recorded for this code — unchanged since the FY2026 (April) baseline of the change ledger.