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Inpatient Procedure Code

0RPK4KZ ICD-10-PCS Code: Removal of Nonautologous Tissue Substitute from Left Shoulder Joint, Percutaneous Endoscopic Approach

Removal of Nonaut Sub from L Shoulder Jt, 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 SystemR

Upper Joints

3
Root OperationP

Removal

Taking out or off a device from a body part

4
Body PartK

Shoulder Joint, Left

5
Approach4

Percutaneous Endoscopic

6
DeviceK

Nonautologous Tissue Substitute

7
QualifierZ

No Qualifier

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 5 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.

0RPF4KZ — Removal of Nonautologous Tissue Substitute from Left Sternoclavicular Joint, Percutaneous Endoscopic Approach, 0RPG4KZ — Removal of Nonautologous Tissue Substitute from Right Acromioclavicular Joint, Percutaneous Endoscopic Approach, 0RPH4KZ — Removal of Nonautologous Tissue Substitute from Left Acromioclavicular Joint, Percutaneous Endoscopic Approach, 0RPJ4KZ — Removal of Nonautologous Tissue Substitute from Right Shoulder Joint, Percutaneous Endoscopic Approach, 0RPL4KZ — Removal of Nonautologous Tissue Substitute from Right Elbow Joint, Percutaneous Endoscopic Approach, 0RPM4KZ — Removal of Nonautologous Tissue Substitute from Left Elbow Joint, Percutaneous Endoscopic Approach, 0RPN4KZ — Removal of Nonautologous Tissue Substitute from Right Wrist Joint, Percutaneous Endoscopic Approach, 0RPP4KZ — Removal of Nonautologous Tissue Substitute from Left Wrist Joint, Percutaneous Endoscopic Approach, +20 more

Same operation — other Approach

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

0RPK0KZ — Removal of Nonautologous Tissue Substitute from Left Shoulder Joint, Open Approach, 0RPK3KZ — Removal of Nonautologous Tissue Substitute from Left Shoulder Joint, Percutaneous Approach

Same operation — other Device

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

0RPK40Z — Removal of Drainage Device from Left Shoulder Joint, Percutaneous Endoscopic Approach, 0RPK43Z — Removal of Infusion Device from Left Shoulder Joint, Percutaneous Endoscopic Approach, 0RPK44Z — Removal of Internal Fixation Device from Left Shoulder Joint, Percutaneous Endoscopic Approach, 0RPK47Z — Removal of Autologous Tissue Substitute from Left Shoulder Joint, Percutaneous Endoscopic Approach, 0RPK48Z — Removal of Spacer from Left Shoulder Joint, Percutaneous Endoscopic Approach, 0RPK4JZ — Removal of Synthetic Substitute from Left Shoulder Joint, 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.

+4725 more

Contextual Map

Every relationship of 0RPK4KZ 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 0RPK4KZ with these 5 related codes in Claim Check

PCS table

MS-DRG participation

Clinical classification (CCSR)

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

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