0PP104ZRemoval of Internal Fixation Device from 1 to 2 Ribs, Open Approach
- Billable / Specific Code
0PP104Z is a billable ICD-10-PCS procedure code for Removal of Internal Fixation Device from 1 to 2 Ribs, 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 Removal involves taking out or off a device from a body part. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Bone fixation (excluding extremities).
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 | P | Removal |
| 4 | BodyPart | 1 | Ribs, 1 to 2 |
| 5 | Approach | 0 | Open |
| 6 | Device | 4 | Internal Fixation 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:
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 0PP104Z
Is 0PP104Z a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Removal of Internal Fixation Device from 1 to 2 Ribs, Open Approach on inpatient claims from October 1, 2026 through September 30, 2027.
What do the characters in 0PP104Z 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 P is the Operation (Removal); the 4th character 1 is the BodyPart (Ribs, 1 to 2); the 5th character 0 is the Approach (Open); the 6th character 4 is the Device (Internal Fixation Device); the 7th character Z is the Qualifier (No Qualifier).
What MS-DRG does 0PP104Z group to?
On an inpatient stay, Removal of Internal Fixation Device from 1 to 2 Ribs, Open Approach maps to MS-DRGs 495, 496, 497, 907, 908, 909, with relative weights from 1.1714 to 3.8962. The MS-DRG sets the fixed Medicare payment for the stay.
What is the ICD-9-PCS equivalent of 0PP104Z?
Under the General Equivalence Mappings, Removal of Internal Fixation Device from 1 to 2 Ribs, Open Approach crosswalks to ICD-9-PCS 78.61 (Removal of implanted devices from bone, scapula, clavicle, and thorax [ribs and sternum]). The mapping is approximate, so confirm it fits the documentation.
