0PJY0ZZInspection of Upper Bone, Open Approach

  • Billable / Specific Code
ICD-10-PCS 0PJY0ZZ
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

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 2026 (October 1, 2025 through September 30, 2026) and groups to 6 MS-DRGs. The root operation Inspection involves visually and/or manually exploring a body part.

Code Identity

ICD-10-PCS Code
0PJY0ZZ
Billable Status
Yes — Valid for Submission
Code Describes
Inspection of Upper Bone, Open Approach
Parent Code
0PJ Upper Bones, Inspection
Short Description
Inspection of Upper Bone, Open Approach

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 SystemPUpper Bones
3OperationJInspection
4BodyPartYUpper Bone
5Approach0Open
6DeviceZNo Device
7QualifierZNo Qualifier

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for 0PJY0ZZ under the General Equivalence Mappings.

78.81
Approximate match.
78.82
Approximate match.
78.83
Approximate match.
78.84
Approximate match.
78.89
Approximate match.

Similar Procedure Codes

Questions About 0PJY0ZZ

Is 0PJY0ZZ a billable code?

Yes. 0PJY0ZZ 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, 2025 through September 30, 2026.

What do the characters in 0PJY0ZZ mean?

0PJY0ZZ 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 1.3664 to 3.7377. 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, 78.82, and 78.83. The mapping is approximate, so confirm it fits the documentation.