2022 ICD-10-PCS Procedure Code 0NP03JZ

Removal of Synthetic Substitute from Skull, Percutaneous Approach

Version 2021
Billable Code

Valid for Submission

ICD-10-PCS:0NP03JZ
Short Description:Removal of Synthetic Substitute from Skull, Perc Approach
Long Description:Removal of Synthetic Substitute from Skull, Percutaneous Approach

0NP03JZ is a billable procedure code used to specify the performance of removal of synthetic substitute from skull, percutaneous approach. The code is valid for the year 2022 for the submission of HIPAA-covered transactions.

The procedure code 0NP03JZ is in the medical and surgical section and is part of the head and facial bones body system, classified under the removal operation. The applicable bodypart is skull.

ICD-10-PCS Details

Position Designation Character Label Notes
1 Section 0 Medical and Surgical
2 Body System N Head and Facial Bones
3 Operation P Removal

Involves:
Taking out or off a device from a body part

Explanation:
If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL

Includes:
  • Drainage tube removal, cardiac pacemaker removal
4 BodyPart 0 Skull
5 Approach 3 Percutaneous

Involves:
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure

6 Device J Synthetic Substitute Includes:
  • AbioCor(R) Total Replacement Heart
  • AMPLATZER(R) Muscular VSD Occluder
  • Annuloplasty ring
  • Bard(R) Composix(R) (E/X)(LP) mesh
  • Bard(R) Composix(R) Kugel(R) patch
  • Bard(R) Dulex(tm) mesh
  • Bard(R) Ventralex(tm) hernia patch
  • Barricaid(R) Annular Closure Device (ACD)
  • BRYAN(R) Cervical Disc System
  • Corvia IASD(R)
  • Ex-PRESS(tm) mini glaucoma shunt
  • Flexible Composite Mesh
  • GORE(R) DUALMESH(R)
  • Holter valve ventricular shunt
  • IASD(R) (InterAtrial Shunt Device), Corvia
  • InterAtrial Shunt Device IASD(R), Corvia
  • MitraClip valve repair system
  • Nitinol framed polymer mesh
  • Open Pivot (mechanical) valve
  • Open Pivot Aortic Valve Graft (AVG)
  • Partially absorbable mesh
  • PHYSIOMESH(tm) Flexible Composite Mesh
  • Polymethylmethacrylate (PMMA)
  • Polypropylene mesh
  • PRESTIGE(R) Cervical Disc
  • PROCEED(tm) Ventral Patch
  • Prodisc-C
  • Prodisc-L
  • PROLENE Polypropylene Hernia System (PHS)
  • Rebound HRD(R) (Hernia Repair Device)
  • SynCardia Total Artificial Heart
  • Total artificial (replacement) heart
  • ULTRAPRO Hernia System (UHS)
  • ULTRAPRO Partially Absorbable Lightweight Mesh
  • ULTRAPRO Plug
  • V-Wave Interatrial Shunt System
  • Ventrio(tm) Hernia Patch
  • Zimmer(R) NexGen(R) LPS Mobile Bearing Knee
  • Zimmer(R) NexGen(R) LPS-Flex Mobile Knee
7 Qualifier Z No Qualifier

Explanation:
The value Z is used for the seventh character to indicate that a specific qualifier does not apply to the procedure.

Diagnostic Related Groups - MS-DRG Mapping

The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The procedure code 0NP03JZ is grouped in the following groups for version MS-DRG V38.0 applicable from 10/01/2021 through 09/30/2022.

MS-DRG MS-DRG Title MCD Relative Weight
023CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR015.6719
024CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC013.939
025CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC014.4974
026CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC013.062
027CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC012.5143
143OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC032.9798
144OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC031.7615
145OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC031.2246
515OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC083.1406
516OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC081.9628
517OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC081.3982
907OTHER O.R. PROCEDURES FOR INJURIES WITH MCC213.9482
908OTHER O.R. PROCEDURES FOR INJURIES WITH CC212.0504
909OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC211.371
957OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC247.4209
958OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC244.2057
959OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC242.7361

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Convert 0NP03JZ to ICD-9-PCS

The following crosswalk between ICD-10-PCS to ICD-9-PCS is based based on the General Equivalence Mappings (GEMS) information:

What is ICD-10-PCS?

The ICD-10 Procedure Coding System (ICD-10-PCS) is a catalog of procedural codes used by medical professionals for hospital inpatient healthcare settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates. These 2022 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2021 through September 30, 2022.

Each ICD-10-PCS code has a structure of seven alphanumeric characters and contains no decimals. The first character defines the major "section". Depending on the "section" the second through seventh characters mean different things.