0PJY0ZZInspection of Upper Bone, Open Approach
- Billable / Specific Code
0PJY0ZZ is a billable ICD-10-PCS procedure code for Inspection of Upper Bone, Open Approach. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to 6 MS-DRGs. The root operation Inspection involves visually and/or manually exploring a body part. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Bone and joint biopsy.
Code Identity
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.
| Position | Designation | Value | Meaning |
|---|---|---|---|
| 1 | Section | 0 | Medical and Surgical |
| 2 | Body System | P | Upper Bones |
| 3 | Operation | J | Inspection |
| 4 | BodyPart | Y | Upper Bone |
| 5 | Approach | 0 | Open |
| 6 | Device | Z | No Device |
| 7 | Qualifier | Z | No Qualifier |
In the ICD-10-PCS Alphabetic Index
These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:
To code inspection of the upper bone, open the FY 2027 ICD-10-PCS Alphabetic Index at Inspection, then the subterms Bone, Upper. The index leads to table 0PJ, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 0PJY0ZZ.
Clinical Classification (CCSR)
AHRQ groups this procedure code into these clinical categories.
Convert to ICD-9-PCS
Closest ICD-9-PCS equivalents for this code under the General Equivalence Mappings.
Similar Procedure Codes
Questions About 0PJY0ZZ
Is 0PJY0ZZ a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Inspection of Upper Bone, Open Approach on inpatient claims from October 1, 2026 through September 30, 2027.
What do the characters in 0PJY0ZZ mean?
The code breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character P is the Body System (Upper Bones); the 3rd character J is the Operation (Inspection); the 4th character Y is the BodyPart (Upper Bone); the 5th character 0 is the Approach (Open); the 6th character Z is the Device (No Device); the 7th character Z is the Qualifier (No Qualifier).
What MS-DRG does 0PJY0ZZ group to?
On an inpatient stay, Inspection of Upper Bone, Open Approach maps to MS-DRGs 166, 167, 168, 477, 478, 479, with relative weights from 1.3890 to 3.8734. The MS-DRG sets the fixed Medicare payment for the stay.
What is the ICD-9-PCS equivalent of 0PJY0ZZ?
Under the General Equivalence Mappings, Inspection of Upper Bone, Open Approach crosswalks to ICD-9-PCS 78.81 (Diagnostic procedures on bone, not elsewhere classified, scapula, clavicle, and thorax [ribs and sternum]), 78.82 (Diagnostic procedures on bone, not elsewhere classified, humerus), and 78.83 (Diagnostic procedures on bone, not elsewhere classified, radius and ulna). The mapping is approximate, so confirm it fits the documentation.
