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Inpatient Procedure Code

0PUF4JZ ICD-10-PCS Code: Supplement Right Humeral Shaft with Synthetic Substitute, Percutaneous Endoscopic Approach

Supplement R Humeral Shaft w Synth Sub, Perc Endo

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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 OperationU

Supplement

Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part

4
Body PartF

Humeral Shaft, Right

5
Approach4

Percutaneous Endoscopic

6
DeviceJ

Synthetic Substitute

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 9 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.

0PU94JZ — Supplement Right Clavicle with Synthetic Substitute, Percutaneous Endoscopic Approach, 0PUB4JZ — Supplement Left Clavicle with Synthetic Substitute, Percutaneous Endoscopic Approach, 0PUC4JZ — Supplement Right Humeral Head with Synthetic Substitute, Percutaneous Endoscopic Approach, 0PUD4JZ — Supplement Left Humeral Head with Synthetic Substitute, Percutaneous Endoscopic Approach, 0PUG4JZ — Supplement Left Humeral Shaft with Synthetic Substitute, Percutaneous Endoscopic Approach, 0PUH4JZ — Supplement Right Radius with Synthetic Substitute, Percutaneous Endoscopic Approach, 0PUJ4JZ — Supplement Left Radius with Synthetic Substitute, Percutaneous Endoscopic Approach, 0PUK4JZ — Supplement Right Ulna with Synthetic Substitute, Percutaneous Endoscopic Approach, +18 more

Same operation — other Approach

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

0PUF0JZ — Supplement Right Humeral Shaft with Synthetic Substitute, Open Approach, 0PUF3JZ — Supplement Right Humeral Shaft with Synthetic Substitute, Percutaneous Approach

Same operation — other Device

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

0PUF47Z — Supplement Right Humeral Shaft with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 0PUF4KZ — Supplement Right Humeral Shaft with Nonautologous Tissue Substitute, 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.

+4772 more

Contextual Map

Every relationship of 0PUF4JZ 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 0PUF4JZ with these 5 related codes in Claim Check

PCS table

MS-DRG participation (9)

Clinical classification (CCSR)

MDC crossing · diagnoses (40518)

  • 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
  • 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 · FY2027
  • 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) · FY2027
  • 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) · FY2027
  • 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) · FY2027
  • 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) · FY2027
  • 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) · FY2027
  • and 40513 more

Nearest codes

Change history

No changes recorded for this code. This ledger tracks additions, deletions and description changes from FY2016 onward. Note changes are not tracked.

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