0NP04JZRemoval of Synthetic Substitute from Skull, Percutaneous Endoscopic Approach

  • Billable / Specific Code
ICD-10-PCS 0NP04JZ
CMS Source: FY 2027 ICD-10-PCS dataset. Effective Oct 1, 2026 – Sep 30, 2027.FacebookXLinkedInPrint

0NP04JZ is a billable ICD-10-PCS procedure code for Removal of Synthetic Substitute from Skull, Percutaneous Endoscopic Approach. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to 17 MS-DRGs. The root operation Removal involves taking out or off a device from a body part. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Musculoskeletal device procedures, NEC.

Code Identity

ICD-10-PCS Code
0NP04JZ
Billable Status
Yes — Valid for Submission
Code Describes
Removal of Synthetic Substitute from Skull, Percutaneous Endoscopic Approach
Short Description
Removal of Synth Sub from Skull, Perc Endo Approach
Parent Code

PCS Table Breakdown

Each ICD-10-PCS code is built from seven characters, each an axis of the procedure. Hover or tap the icons for the official CMS definitions.

PositionDesignationValueMeaning
1Section0Medical and Surgical
2Body SystemNHead and Facial Bones
3OperationPRemoval
4BodyPart0Skull
5Approach4Percutaneous Endoscopic
6DeviceJSynthetic Substitute
7QualifierZNo Qualifier

In the ICD-10-PCS Alphabetic Index

These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:

Leads to this code's table
Hearing Device, Removal of device from, Skull
Leads to this code's table
Bone Growth Stimulator, Removal of device from, Skull
Leads to this code's table

Browse the full ICD-10-PCS Alphabetic Index →

Clinical Classification (CCSR)

AHRQ groups this procedure code into these clinical categories.

MST029
Musculoskeletal device procedures, NEC
Clinical domain: Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for this code under the General Equivalence Mappings.

02.07
Removal of skull plate
Approximate match.

Similar Procedure Codes

Questions About 0NP04JZ

Is 0NP04JZ a billable code?

Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Removal of Synthetic Substitute from Skull, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2026 through September 30, 2027.

What do the characters in 0NP04JZ mean?

The code breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character N is the Body System (Head and Facial Bones); the 3rd character P is the Operation (Removal); the 4th character 0 is the BodyPart (Skull); the 5th character 4 is the Approach (Percutaneous Endoscopic); the 6th character J is the Device (Synthetic Substitute); the 7th character Z is the Qualifier (No Qualifier).

What MS-DRG does 0NP04JZ group to?

On an inpatient stay, Removal of Synthetic Substitute from Skull, Percutaneous Endoscopic Approach maps to MS-DRGs 023, 024, 025, 026, 027, 143, 144, 145, 515, 516, 517, 907, 908, 909, 957, 958, 959, with relative weights from 1.2335 to 7.5502. The MS-DRG sets the fixed Medicare payment for the stay.

What is the ICD-9-PCS equivalent of 0NP04JZ?

Under the General Equivalence Mappings, Removal of Synthetic Substitute from Skull, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 02.07 (Removal of skull plate). The mapping is approximate, so confirm it fits the documentation.