0RP0X4Z ICD-10-PCS Code: Removal of Internal Fixation Device from Occipital-cervical Joint, External Approach
Removal of Int Fix from Occip Jt, Extern 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.
| Position | Value | Meaning |
|---|---|---|
| 1 | Section0 | Medical and Surgical |
| 2 | Body SystemR | Upper Joints |
| 3 | Root OperationP | Removal Taking out or off a device from a body part |
| 4 | Body Part0 | Occipital-cervical Joint |
| 5 | ApproachX | External |
| 6 | Device4 | Internal Fixation Device |
| 7 | QualifierZ | No Qualifier |
Related Codes
Same operation — other Body Part
Same table and root operation, differing only in the body part character.
0RP1X4Z — Removal of Internal Fixation Device from Cervical Vertebral Joint, External Approach, 0RP4X4Z — Removal of Internal Fixation Device from Cervicothoracic Vertebral Joint, External Approach, 0RP6X4Z — Removal of Internal Fixation Device from Thoracic Vertebral Joint, External Approach, 0RPAX4Z — Removal of Internal Fixation Device from Thoracolumbar Vertebral Joint, External Approach, 0RPCX4Z — Removal of Internal Fixation Device from Right Temporomandibular Joint, External Approach, 0RPDX4Z — Removal of Internal Fixation Device from Left Temporomandibular Joint, External Approach, 0RPEX4Z — Removal of Internal Fixation Device from Right Sternoclavicular Joint, External Approach, 0RPFX4Z — Removal of Internal Fixation Device from Left Sternoclavicular Joint, External Approach, +16 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
0RP004Z — Removal of Internal Fixation Device from Occipital-cervical Joint, Open Approach, 0RP034Z — Removal of Internal Fixation Device from Occipital-cervical Joint, Percutaneous Approach, 0RP044Z — Removal of Internal Fixation Device from Occipital-cervical Joint, Percutaneous Endoscopic Approach
Same operation — other Device
Same table and root operation, differing only in the device character.
0RP0X0Z — Removal of Drainage Device from Occipital-cervical Joint, External Approach, 0RP0X3Z — Removal of Infusion Device from Occipital-cervical Joint, External Approach
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Spine fusion (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.
0RHA0CZ — Insertion of Pedicle-Based Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Open Approach, 0RHA0DZ — Insertion of Facet Replacement Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Open Approach, 0RHA34Z — Insertion of Internal Fixation Device into Thoracolumbar Vertebral Joint, Percutaneous Approach, 0RHA3BZ — Insertion of Interspinous Process Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Percutaneous Approach, 0RHA3CZ — Insertion of Pedicle-Based Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Percutaneous Approach, 0RHA3DZ — Insertion of Facet Replacement Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Percutaneous Approach, 0RHA44Z — Insertion of Internal Fixation Device into Thoracolumbar Vertebral Joint, Percutaneous Endoscopic Approach, 0RHA4BZ — Insertion of Interspinous Process Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Percutaneous Endoscopic Approach, 0RHA4CZ — Insertion of Pedicle-Based Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Percutaneous Endoscopic Approach, 0RHA4DZ — Insertion of Facet Replacement Spinal Stabilization Device into Thoracolumbar Vertebral Joint, Percutaneous Endoscopic Approach, 0RS004Z — Reposition Occipital-cervical Joint with Internal Fixation Device, Open Approach, 0RS00ZZ — Reposition Occipital-cervical Joint, Open Approach, 0RS034Z — Reposition Occipital-cervical Joint with Internal Fixation Device, Percutaneous Approach, 0RS03ZZ — Reposition Occipital-cervical Joint, Percutaneous Approach, 0RS044Z — Reposition Occipital-cervical Joint with Internal Fixation Device, Percutaneous Endoscopic Approach, 0RS04ZZ — Reposition Occipital-cervical Joint, Percutaneous Endoscopic Approach, 0RS0X4Z — Reposition Occipital-cervical Joint with Internal Fixation Device, External Approach, 0RS104Z — Reposition Cervical Vertebral Joint with Internal Fixation Device, Open Approach, 0RS10ZZ — Reposition Cervical Vertebral Joint, Open Approach, 0RS134Z — Reposition Cervical Vertebral Joint with Internal Fixation Device, Percutaneous Approach, +604 more
Contextual Map
Every relationship of 0RP0X4Z 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
- 0RP[PCS table]— CMS ICD-10-PCS tables
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
- Upper Joints — Body System: Upper Joints[Body System]: “Upper Joints”— CMS ICD-10-PCS tables
- Removal — Operation: Removal[Operation]: “Removal”— CMS ICD-10-PCS tables
Clinical classification (CCSR)
- MST013 — Spine fusion[CCSR category]: “Spine fusion — Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
Nearest codes
- 0RP004Z — Removal of Internal Fixation Device from Occipital-cervical Joint, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0RP034Z — Removal of Internal Fixation Device from Occipital-cervical Joint, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0RP044Z — Removal of Internal Fixation Device from Occipital-cervical Joint, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0RP0X0Z — Removal of Drainage Device from Occipital-cervical Joint, External Approach[One axis away]— CMS ICD-10-PCS tables
- 0RP0X3Z — Removal of Infusion Device from Occipital-cervical Joint, External Approach[One axis away]— CMS ICD-10-PCS tables
- 0RP1X4Z — Removal of Internal Fixation Device from Cervical Vertebral Joint, External Approach[One axis away]— CMS ICD-10-PCS tables
- 0RP4X4Z — Removal of Internal Fixation Device from Cervicothoracic Vertebral Joint, External Approach[One axis away]— CMS ICD-10-PCS tables
- 0RP6X4Z — Removal of Internal Fixation Device from Thoracic Vertebral Joint, External Approach[One axis away]— CMS ICD-10-PCS tables
Change history
No changes recorded for this code. This ledger tracks additions, deletions and description changes from FY2026 (April) onward. Note changes are not tracked.
Read from: CMS ICD-10-PCS code tables, index and definitions — FY2026 (April); CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43; 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