ICD-10-PCS Tabular Index · Section 0 · FY 2026 0PU

0PU Supplement - Upper Bones ICD-10-PCS

The 0PU code range contains 244 ICD-10-PCS codes for Supplement procedures on the upper bones. 243 of the codes are billable and valid for inpatient claim submission in fiscal year 2026.

✓ Built from the official CMS FY 2026 datasetEffective Oct 1, 2025 – Sep 30, 2026
244
Procedure Codes
243
Billable Codes
0PU
Characters 1–3
0P
Parent Body System

Root Operation Definition

Supplement: Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a body part.

ICD-10-PCS

Codes in the 0PU Range 244 codes · 243 billable

244 of 244 shown
  • 0PU Upper Bones, SupplementNon-billable header
  • 0PU007Z Supplement Sternum with Autologous Tissue Substitute, Open Approach
  • 0PU00JZ Supplement Sternum with Synthetic Substitute, Open Approach
  • 0PU00KZ Supplement Sternum with Nonautologous Tissue Substitute, Open Approach
  • 0PU037Z Supplement Sternum with Autologous Tissue Substitute, Percutaneous Approach
  • 0PU03JZ Supplement Sternum with Synthetic Substitute, Percutaneous Approach
  • 0PU03KZ Supplement Sternum with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0PU047Z Supplement Sternum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PU04JZ Supplement Sternum with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0PU04KZ Supplement Sternum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PU107Z Supplement 1 to 2 Ribs with Autologous Tissue Substitute, Open Approach
  • 0PU10JZ Supplement 1 to 2 Ribs with Synthetic Substitute, Open Approach
  • 0PU10KZ Supplement 1 to 2 Ribs with Nonautologous Tissue Substitute, Open Approach
  • 0PU137Z Supplement 1 to 2 Ribs with Autologous Tissue Substitute, Percutaneous Approach
  • 0PU13JZ Supplement 1 to 2 Ribs with Synthetic Substitute, Percutaneous Approach
  • 0PU13KZ Supplement 1 to 2 Ribs with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0PU147Z Supplement 1 to 2 Ribs with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PU14JZ Supplement 1 to 2 Ribs with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0PU14KZ Supplement 1 to 2 Ribs with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PU207Z Supplement 3 or More Ribs with Autologous Tissue Substitute, Open Approach
  • 0PU20JZ Supplement 3 or More Ribs with Synthetic Substitute, Open Approach
  • 0PU20KZ Supplement 3 or More Ribs with Nonautologous Tissue Substitute, Open Approach
  • 0PU237Z Supplement 3 or More Ribs with Autologous Tissue Substitute, Percutaneous Approach
  • 0PU23JZ Supplement 3 or More Ribs with Synthetic Substitute, Percutaneous Approach
  • 0PU23KZ Supplement 3 or More Ribs with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0PU247Z Supplement 3 or More Ribs with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PU24JZ Supplement 3 or More Ribs with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0PU24KZ Supplement 3 or More Ribs with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PU307Z Supplement Cervical Vertebra with Autologous Tissue Substitute, Open Approach
  • 0PU30JZ Supplement Cervical Vertebra with Synthetic Substitute, Open Approach
  • 0PU30KZ Supplement Cervical Vertebra with Nonautologous Tissue Substitute, Open Approach
  • 0PU337Z Supplement Cervical Vertebra with Autologous Tissue Substitute, Percutaneous Approach
  • 0PU33JZ Supplement Cervical Vertebra with Synthetic Substitute, Percutaneous Approach
  • 0PU33KZ Supplement Cervical Vertebra with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0PU347Z Supplement Cervical Vertebra with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PU34JZ Supplement Cervical Vertebra with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0PU34KZ Supplement Cervical Vertebra with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PU407Z Supplement Thoracic Vertebra with Autologous Tissue Substitute, Open Approach
  • 0PU40JZ Supplement Thoracic Vertebra with Synthetic Substitute, Open Approach
  • 0PU40KZ Supplement Thoracic Vertebra with Nonautologous Tissue Substitute, Open Approach
  • 0PU437Z Supplement Thoracic Vertebra with Autologous Tissue Substitute, Percutaneous Approach
  • 0PU43JZ Supplement Thoracic Vertebra with Synthetic Substitute, Percutaneous Approach
  • 0PU43KZ Supplement Thoracic Vertebra with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0PU447Z Supplement Thoracic Vertebra with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PU44JZ Supplement Thoracic Vertebra with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0PU44KZ Supplement Thoracic Vertebra with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PU507Z Supplement Right Scapula with Autologous Tissue Substitute, Open Approach
  • 0PU50JZ Supplement Right Scapula with Synthetic Substitute, Open Approach
  • 0PU50KZ Supplement Right Scapula with Nonautologous Tissue Substitute, Open Approach
  • 0PU537Z Supplement Right Scapula with Autologous Tissue Substitute, Percutaneous Approach
  • 0PU53JZ Supplement Right Scapula with Synthetic Substitute, Percutaneous Approach
  • 0PU53KZ Supplement Right Scapula with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0PU547Z Supplement Right Scapula with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PU54JZ Supplement Right Scapula with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0PU54KZ Supplement Right Scapula with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PU607Z Supplement Left Scapula with Autologous Tissue Substitute, Open Approach
  • 0PU60JZ Supplement Left Scapula with Synthetic Substitute, Open Approach
  • 0PU60KZ Supplement Left Scapula with Nonautologous Tissue Substitute, Open Approach
  • 0PU637Z Supplement Left Scapula with Autologous Tissue Substitute, Percutaneous Approach
  • 0PU63JZ Supplement Left Scapula with Synthetic Substitute, Percutaneous Approach
  • 0PU63KZ Supplement Left Scapula with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0PU647Z Supplement Left Scapula with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PU64JZ Supplement Left Scapula with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0PU64KZ Supplement Left Scapula with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PU707Z Supplement Right Glenoid Cavity with Autologous Tissue Substitute, Open Approach
  • 0PU70JZ Supplement Right Glenoid Cavity with Synthetic Substitute, Open Approach
  • 0PU70KZ Supplement Right Glenoid Cavity with Nonautologous Tissue Substitute, Open Approach
  • 0PU737Z Supplement Right Glenoid Cavity with Autologous Tissue Substitute, Percutaneous Approach
  • 0PU73JZ Supplement Right Glenoid Cavity with Synthetic Substitute, Percutaneous Approach
  • 0PU73KZ Supplement Right Glenoid Cavity with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0PU747Z Supplement Right Glenoid Cavity with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PU74JZ Supplement Right Glenoid Cavity with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0PU74KZ Supplement Right Glenoid Cavity with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PU807Z Supplement Left Glenoid Cavity with Autologous Tissue Substitute, Open Approach
  • 0PU80JZ Supplement Left Glenoid Cavity with Synthetic Substitute, Open Approach
  • 0PU80KZ Supplement Left Glenoid Cavity with Nonautologous Tissue Substitute, Open Approach
  • 0PU837Z Supplement Left Glenoid Cavity with Autologous Tissue Substitute, Percutaneous Approach
  • 0PU83JZ Supplement Left Glenoid Cavity with Synthetic Substitute, Percutaneous Approach
  • 0PU83KZ Supplement Left Glenoid Cavity with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0PU847Z Supplement Left Glenoid Cavity with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PU84JZ Supplement Left Glenoid Cavity with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0PU84KZ Supplement Left Glenoid Cavity with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PU907Z Supplement Right Clavicle with Autologous Tissue Substitute, Open Approach
  • 0PU90JZ Supplement Right Clavicle with Synthetic Substitute, Open Approach
  • 0PU90KZ Supplement Right Clavicle with Nonautologous Tissue Substitute, Open Approach
  • 0PU937Z Supplement Right Clavicle with Autologous Tissue Substitute, Percutaneous Approach
  • 0PU93JZ Supplement Right Clavicle with Synthetic Substitute, Percutaneous Approach
  • 0PU93KZ Supplement Right Clavicle with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0PU947Z Supplement Right Clavicle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PU94JZ Supplement Right Clavicle with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0PU94KZ Supplement Right Clavicle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PUB07Z Supplement Left Clavicle with Autologous Tissue Substitute, Open Approach
  • 0PUB0JZ Supplement Left Clavicle with Synthetic Substitute, Open Approach
  • 0PUB0KZ Supplement Left Clavicle with Nonautologous Tissue Substitute, Open Approach
  • 0PUB37Z Supplement Left Clavicle with Autologous Tissue Substitute, Percutaneous Approach
  • 0PUB3JZ Supplement Left Clavicle with Synthetic Substitute, Percutaneous Approach
  • 0PUB3KZ Supplement Left Clavicle with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0PUB47Z Supplement Left Clavicle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PUB4JZ Supplement Left Clavicle with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0PUB4KZ Supplement Left Clavicle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PUC07Z Supplement Right Humeral Head with Autologous Tissue Substitute, Open Approach
  • 0PUC0JZ Supplement Right Humeral Head with Synthetic Substitute, Open Approach
  • 0PUC0KZ Supplement Right Humeral Head with Nonautologous Tissue Substitute, Open Approach
  • 0PUC37Z Supplement Right Humeral Head with Autologous Tissue Substitute, Percutaneous Approach
  • 0PUC3JZ Supplement Right Humeral Head with Synthetic Substitute, Percutaneous Approach
  • 0PUC3KZ Supplement Right Humeral Head with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0PUC47Z Supplement Right Humeral Head with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PUC4JZ Supplement Right Humeral Head with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0PUC4KZ Supplement Right Humeral Head with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PUD07Z Supplement Left Humeral Head with Autologous Tissue Substitute, Open Approach
  • 0PUD0JZ Supplement Left Humeral Head with Synthetic Substitute, Open Approach
  • 0PUD0KZ Supplement Left Humeral Head with Nonautologous Tissue Substitute, Open Approach
  • 0PUD37Z Supplement Left Humeral Head with Autologous Tissue Substitute, Percutaneous Approach
  • 0PUD3JZ Supplement Left Humeral Head with Synthetic Substitute, Percutaneous Approach
  • 0PUD3KZ Supplement Left Humeral Head with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0PUD47Z Supplement Left Humeral Head with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PUD4JZ Supplement Left Humeral Head with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0PUD4KZ Supplement Left Humeral Head with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PUF07Z Supplement Right Humeral Shaft with Autologous Tissue Substitute, Open Approach
  • 0PUF0JZ Supplement Right Humeral Shaft with Synthetic Substitute, Open Approach
  • 0PUF0KZ Supplement Right Humeral Shaft with Nonautologous Tissue Substitute, Open Approach
  • 0PUF37Z Supplement Right Humeral Shaft with Autologous Tissue Substitute, Percutaneous Approach
  • 0PUF3JZ Supplement Right Humeral Shaft with Synthetic Substitute, Percutaneous Approach
  • 0PUF3KZ Supplement Right Humeral Shaft with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0PUF47Z Supplement Right Humeral Shaft with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PUF4JZ Supplement Right Humeral Shaft with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0PUF4KZ Supplement Right Humeral Shaft with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PUG07Z Supplement Left Humeral Shaft with Autologous Tissue Substitute, Open Approach
  • 0PUG0JZ Supplement Left Humeral Shaft with Synthetic Substitute, Open Approach
  • 0PUG0KZ Supplement Left Humeral Shaft with Nonautologous Tissue Substitute, Open Approach
  • 0PUG37Z Supplement Left Humeral Shaft with Autologous Tissue Substitute, Percutaneous Approach
  • 0PUG3JZ Supplement Left Humeral Shaft with Synthetic Substitute, Percutaneous Approach
  • 0PUG3KZ Supplement Left Humeral Shaft with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0PUG47Z Supplement Left Humeral Shaft with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PUG4JZ Supplement Left Humeral Shaft with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0PUG4KZ Supplement Left Humeral Shaft with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PUH07Z Supplement Right Radius with Autologous Tissue Substitute, Open Approach
  • 0PUH0JZ Supplement Right Radius with Synthetic Substitute, Open Approach
  • 0PUH0KZ Supplement Right Radius with Nonautologous Tissue Substitute, Open Approach
  • 0PUH37Z Supplement Right Radius with Autologous Tissue Substitute, Percutaneous Approach
  • 0PUH3JZ Supplement Right Radius with Synthetic Substitute, Percutaneous Approach
  • 0PUH3KZ Supplement Right Radius with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0PUH47Z Supplement Right Radius with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PUH4JZ Supplement Right Radius with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0PUH4KZ Supplement Right Radius with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PUJ07Z Supplement Left Radius with Autologous Tissue Substitute, Open Approach
  • 0PUJ0JZ Supplement Left Radius with Synthetic Substitute, Open Approach
  • 0PUJ0KZ Supplement Left Radius with Nonautologous Tissue Substitute, Open Approach
  • 0PUJ37Z Supplement Left Radius with Autologous Tissue Substitute, Percutaneous Approach
  • 0PUJ3JZ Supplement Left Radius with Synthetic Substitute, Percutaneous Approach
  • 0PUJ3KZ Supplement Left Radius with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0PUJ47Z Supplement Left Radius with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PUJ4JZ Supplement Left Radius with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0PUJ4KZ Supplement Left Radius with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PUK07Z Supplement Right Ulna with Autologous Tissue Substitute, Open Approach
  • 0PUK0JZ Supplement Right Ulna with Synthetic Substitute, Open Approach
  • 0PUK0KZ Supplement Right Ulna with Nonautologous Tissue Substitute, Open Approach
  • 0PUK37Z Supplement Right Ulna with Autologous Tissue Substitute, Percutaneous Approach
  • 0PUK3JZ Supplement Right Ulna with Synthetic Substitute, Percutaneous Approach
  • 0PUK3KZ Supplement Right Ulna with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0PUK47Z Supplement Right Ulna with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PUK4JZ Supplement Right Ulna with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0PUK4KZ Supplement Right Ulna with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PUL07Z Supplement Left Ulna with Autologous Tissue Substitute, Open Approach
  • 0PUL0JZ Supplement Left Ulna with Synthetic Substitute, Open Approach
  • 0PUL0KZ Supplement Left Ulna with Nonautologous Tissue Substitute, Open Approach
  • 0PUL37Z Supplement Left Ulna with Autologous Tissue Substitute, Percutaneous Approach
  • 0PUL3JZ Supplement Left Ulna with Synthetic Substitute, Percutaneous Approach
  • 0PUL3KZ Supplement Left Ulna with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0PUL47Z Supplement Left Ulna with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PUL4JZ Supplement Left Ulna with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0PUL4KZ Supplement Left Ulna with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PUM07Z Supplement Right Carpal with Autologous Tissue Substitute, Open Approach
  • 0PUM0JZ Supplement Right Carpal with Synthetic Substitute, Open Approach
  • 0PUM0KZ Supplement Right Carpal with Nonautologous Tissue Substitute, Open Approach
  • 0PUM37Z Supplement Right Carpal with Autologous Tissue Substitute, Percutaneous Approach
  • 0PUM3JZ Supplement Right Carpal with Synthetic Substitute, Percutaneous Approach
  • 0PUM3KZ Supplement Right Carpal with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0PUM47Z Supplement Right Carpal with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PUM4JZ Supplement Right Carpal with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0PUM4KZ Supplement Right Carpal with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PUN07Z Supplement Left Carpal with Autologous Tissue Substitute, Open Approach
  • 0PUN0JZ Supplement Left Carpal with Synthetic Substitute, Open Approach
  • 0PUN0KZ Supplement Left Carpal with Nonautologous Tissue Substitute, Open Approach
  • 0PUN37Z Supplement Left Carpal with Autologous Tissue Substitute, Percutaneous Approach
  • 0PUN3JZ Supplement Left Carpal with Synthetic Substitute, Percutaneous Approach
  • 0PUN3KZ Supplement Left Carpal with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0PUN47Z Supplement Left Carpal with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PUN4JZ Supplement Left Carpal with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0PUN4KZ Supplement Left Carpal with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PUP07Z Supplement Right Metacarpal with Autologous Tissue Substitute, Open Approach
  • 0PUP0JZ Supplement Right Metacarpal with Synthetic Substitute, Open Approach
  • 0PUP0KZ Supplement Right Metacarpal with Nonautologous Tissue Substitute, Open Approach
  • 0PUP37Z Supplement Right Metacarpal with Autologous Tissue Substitute, Percutaneous Approach
  • 0PUP3JZ Supplement Right Metacarpal with Synthetic Substitute, Percutaneous Approach
  • 0PUP3KZ Supplement Right Metacarpal with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0PUP47Z Supplement Right Metacarpal with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PUP4JZ Supplement Right Metacarpal with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0PUP4KZ Supplement Right Metacarpal with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PUQ07Z Supplement Left Metacarpal with Autologous Tissue Substitute, Open Approach
  • 0PUQ0JZ Supplement Left Metacarpal with Synthetic Substitute, Open Approach
  • 0PUQ0KZ Supplement Left Metacarpal with Nonautologous Tissue Substitute, Open Approach
  • 0PUQ37Z Supplement Left Metacarpal with Autologous Tissue Substitute, Percutaneous Approach
  • 0PUQ3JZ Supplement Left Metacarpal with Synthetic Substitute, Percutaneous Approach
  • 0PUQ3KZ Supplement Left Metacarpal with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0PUQ47Z Supplement Left Metacarpal with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PUQ4JZ Supplement Left Metacarpal with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0PUQ4KZ Supplement Left Metacarpal with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PUR07Z Supplement Right Thumb Phalanx with Autologous Tissue Substitute, Open Approach
  • 0PUR0JZ Supplement Right Thumb Phalanx with Synthetic Substitute, Open Approach
  • 0PUR0KZ Supplement Right Thumb Phalanx with Nonautologous Tissue Substitute, Open Approach
  • 0PUR37Z Supplement Right Thumb Phalanx with Autologous Tissue Substitute, Percutaneous Approach
  • 0PUR3JZ Supplement Right Thumb Phalanx with Synthetic Substitute, Percutaneous Approach
  • 0PUR3KZ Supplement Right Thumb Phalanx with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0PUR47Z Supplement Right Thumb Phalanx with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PUR4JZ Supplement Right Thumb Phalanx with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0PUR4KZ Supplement Right Thumb Phalanx with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PUS07Z Supplement Left Thumb Phalanx with Autologous Tissue Substitute, Open Approach
  • 0PUS0JZ Supplement Left Thumb Phalanx with Synthetic Substitute, Open Approach
  • 0PUS0KZ Supplement Left Thumb Phalanx with Nonautologous Tissue Substitute, Open Approach
  • 0PUS37Z Supplement Left Thumb Phalanx with Autologous Tissue Substitute, Percutaneous Approach
  • 0PUS3JZ Supplement Left Thumb Phalanx with Synthetic Substitute, Percutaneous Approach
  • 0PUS3KZ Supplement Left Thumb Phalanx with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0PUS47Z Supplement Left Thumb Phalanx with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PUS4JZ Supplement Left Thumb Phalanx with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0PUS4KZ Supplement Left Thumb Phalanx with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PUT07Z Supplement Right Finger Phalanx with Autologous Tissue Substitute, Open Approach
  • 0PUT0JZ Supplement Right Finger Phalanx with Synthetic Substitute, Open Approach
  • 0PUT0KZ Supplement Right Finger Phalanx with Nonautologous Tissue Substitute, Open Approach
  • 0PUT37Z Supplement Right Finger Phalanx with Autologous Tissue Substitute, Percutaneous Approach
  • 0PUT3JZ Supplement Right Finger Phalanx with Synthetic Substitute, Percutaneous Approach
  • 0PUT3KZ Supplement Right Finger Phalanx with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0PUT47Z Supplement Right Finger Phalanx with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PUT4JZ Supplement Right Finger Phalanx with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0PUT4KZ Supplement Right Finger Phalanx with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PUV07Z Supplement Left Finger Phalanx with Autologous Tissue Substitute, Open Approach
  • 0PUV0JZ Supplement Left Finger Phalanx with Synthetic Substitute, Open Approach
  • 0PUV0KZ Supplement Left Finger Phalanx with Nonautologous Tissue Substitute, Open Approach
  • 0PUV37Z Supplement Left Finger Phalanx with Autologous Tissue Substitute, Percutaneous Approach
  • 0PUV3JZ Supplement Left Finger Phalanx with Synthetic Substitute, Percutaneous Approach
  • 0PUV3KZ Supplement Left Finger Phalanx with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0PUV47Z Supplement Left Finger Phalanx with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0PUV4JZ Supplement Left Finger Phalanx with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0PUV4KZ Supplement Left Finger Phalanx with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

About the 0PU Code Range

The ICD-10-PCS root operation Supplement (Section: Medical and Surgical) involves the addition of material to a body part to reinforce or augment its function. It is used specifically for upper bones, where implants or tissue substitutes are applied to enhance strength or structure.

Within this classification, the Supplement procedure can be performed on various upper bones such as the sternum, ribs, vertebrae (cervical and thoracic), scapula, glenoid cavity, clavicle, humeral head and shaft, radius, ulna, and carpal, metacarpal, and phalanges of the hand. Examples of codes include 0PU00JZ for supplementing the sternum with a synthetic substitute by an open approach, and 0PU137Z for supplementing 1 to 2 ribs with autologous tissue substitute via a percutaneous approach. Approaches vary from open to minimally invasive methods like percutaneous and percutaneous endoscopic techniques. Different material types, including autologous tissue, synthetic, or nonautologous tissue substitutes, are specified to accurately capture the procedural details.

This breadth of codes within root operation 0PU Supplement enables precise documentation of bone augmentation across the upper skeletal anatomy, supporting surgical planning, billing, and clinical record accuracy.

Questions About This Page

How many billable codes are in the 0PU range?

Of the 244 codes in this range, 243 are billable and valid for inpatient claim submission from October 1, 2025 through September 30, 2026. Table header codes group them but cannot be reported on claims.

What does the 0PU range classify?

The range classifies Supplement procedures, putting in or on biological or synthetic material that physically reinforces and/or augments the function of a body part, performed on the upper bones. Each code adds the body part, approach, device, and qualifier in characters four through seven, and links to its own reference page.

Related References

All ICD-10-PCS SectionsAll of Medical and Surgical (0)All of Body System 0PICD-10-PCS Code LookupICD-10-CM Codes ListMS-DRG ReferenceMedicare Code Edits

Source: CMS FY 2026 ICD-10-PCS order file and code tables, effective October 1, 2025 through September 30, 2026.