2025 ICD-10-CM Procedure Code 0P964ZX

0P964ZX PCS Table

In an PCS table each code is represented by up seven alphanumeric characters, with each character in the table respresenting different aspects of the procedure. In the table provided below, each row represents an individual character and includes information about the character's position, designation, label, and procedure notes. For this PCS table the procedure code is in the medical and surgical section and is part of the upper bones body system, classified under drainage operation. The applicable bodypart for this procedure code is scapula, left.

Clinical Classification

• Clinical Category is Bone and joint biopsy

• CCSR Category Code: MST002
• Clinical Domain is Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures - MST contains 30 categories that include procedures performed on the musculoskeletal, subcutaneous tissue, and fascia. Examples include hip arthroplasty, knee arthroplasty, spine fusion, and toe and midfoot amputation.

0P964ZX is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together procedures for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on the primary procedure being performed. Once a patient is assigned a particular group, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care associated with a particular procedure. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The procedure code 0P964ZX is present in the following groups for version MS-DRG V42.0 applicable from 10/01/2024 through 09/30/2025.

Convert 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:

• ICD-9-PCS: 7741 (Approximate Flag) Approximate Flag
  The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.

Other ICD-10-PCS Codes Used for Drainage Scapula, Left

• 0P9600Z Drainage of Left Scapula with Drainage Device, Open Approach
• 0P960ZX Drainage of Left Scapula, Open Approach, Diagnostic
• 0P960ZZ Drainage of Left Scapula, Open Approach
• 0P9630Z Drainage of Left Scapula with Drainage Device, Percutaneous Approach
• 0P963ZX Drainage of Left Scapula, Percutaneous Approach, Diagnostic
• 0P963ZZ Drainage of Left Scapula, Percutaneous Approach
• 0P9640Z Drainage of Left Scapula with Drainage Device, Percutaneous Endoscopic Approach
• 0P964ZZ Drainage of Left Scapula, Percutaneous Endoscopic Approach

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. The 2025 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2024 through September 30, 2025.

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.