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Inpatient Procedure Code

0PS104Z ICD-10-PCS Code: Reposition 1 to 2 Ribs with Internal Fixation Device, Open Approach

Reposition 1 to 2 Ribs with Int Fix, Open Approach

Check this code on a claim

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 Part1

Ribs, 1 to 2

5
Approach0

Open

6
Device4

Internal Fixation Device

7
QualifierZ

No Qualifier

MS-DRG Grouper Relationships (FY2027)

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 12 MS-DRGs:

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.

0PS004Z — Reposition Sternum with Internal Fixation Device, Open Approach, 0PS204Z — Reposition 3 or More Ribs with Internal Fixation Device, Open Approach, 0PS304Z — Reposition Cervical Vertebra with Internal Fixation Device, Open Approach, 0PS404Z — Reposition Thoracic Vertebra with Internal Fixation Device, Open Approach, 0PS504Z — Reposition Right Scapula with Internal Fixation Device, Open Approach, 0PS604Z — Reposition Left Scapula with Internal Fixation Device, Open Approach, 0PS704Z — Reposition Right Glenoid Cavity with Internal Fixation Device, Open Approach, 0PS804Z — Reposition Left Glenoid Cavity with Internal Fixation Device, Open Approach, +18 more

Same operation — other Approach

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

0PS134Z — Reposition 1 to 2 Ribs with Internal Fixation Device, Percutaneous Approach, 0PS144Z — Reposition 1 to 2 Ribs with Internal Fixation Device, Percutaneous Endoscopic Approach

Same operation — other Device

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

0PS10ZZ — Reposition 1 to 2 Ribs, Open Approach

Same procedure category (CCSR), other tables

AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Bone fixation (excluding extremities) (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.

0PP244Z — Removal of Internal Fixation Device from 3 or More Ribs, Percutaneous Endoscopic Approach, 0PP2X4Z — Removal of Internal Fixation Device from 3 or More Ribs, External Approach, 0PP304Z — Removal of Internal Fixation Device from Cervical Vertebra, Open Approach, 0PP334Z — Removal of Internal Fixation Device from Cervical Vertebra, Percutaneous Approach, 0PP344Z — Removal of Internal Fixation Device from Cervical Vertebra, Percutaneous Endoscopic Approach, 0PP3X4Z — Removal of Internal Fixation Device from Cervical Vertebra, External Approach, 0PP404Z — Removal of Internal Fixation Device from Thoracic Vertebra, Open Approach, 0PP434Z — Removal of Internal Fixation Device from Thoracic Vertebra, Percutaneous Approach, 0PP444Z — Removal of Internal Fixation Device from Thoracic Vertebra, Percutaneous Endoscopic Approach, 0PP4X4Z — Removal of Internal Fixation Device from Thoracic Vertebra, External Approach, 0PW004Z — Revision of Internal Fixation Device in Sternum, Open Approach, 0PW034Z — Revision of Internal Fixation Device in Sternum, Percutaneous Approach, 0PW044Z — Revision of Internal Fixation Device in Sternum, Percutaneous Endoscopic Approach, 0PW0X4Z — Revision of Internal Fixation Device in Sternum, External Approach, 0PW104Z — Revision of Internal Fixation Device in 1 to 2 Ribs, Open Approach, 0PW134Z — Revision of Internal Fixation Device in 1 to 2 Ribs, Percutaneous Approach, 0PW144Z — Revision of Internal Fixation Device in 1 to 2 Ribs, Percutaneous Endoscopic Approach, 0PW1X4Z — Revision of Internal Fixation Device in 1 to 2 Ribs, External Approach, 0PW204Z — Revision of Internal Fixation Device in 3 or More Ribs, Open Approach, 0PW234Z — Revision of Internal Fixation Device in 3 or More Ribs, Percutaneous Approach, +523 more

Contextual Map

Every relationship of 0PS104Z 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 0PS104Z with these 5 related codes in Claim Check

PCS table

MS-DRG participation (12)

Clinical classification (CCSR)

MDC crossing · diagnoses (32474)

  • 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.”— CMS MS-DRG Definitions Manual · FY2027
  • 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 · FY2027
  • A02.22 — Salmonella pneumonia[Same-MDC diagnosis]: “Salmonella pneumonia — grouped in MDC 04, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
  • A06.5 — Amebic lung abscess[Same-MDC diagnosis]: “Amebic lung abscess — grouped in MDC 04, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
  • A15.0 — Tuberculosis of lung[Same-MDC diagnosis]: “Tuberculosis of lung — grouped in MDC 04, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
  • 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.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
  • 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.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
  • and 32469 more

Nearest codes

Change history

Change history

  • FY2018 — October 1, 2017
    Description revised
    Reposition Right Rib with Internal Fixation Device, Open Approach → Reposition 1 to 2 Ribs with Internal Fixation Device, Open Approach
    FY2018 changes

Read from: CMS ICD-10-PCS code tables, index and definitions — FY2027; CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44; 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 · How MedCoder verifies its implementation

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources