ICD-10-PCS Code For Nasal Bone: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0NPB includes procedures performed to remove devices or structures in the nasal bone. These ICD-10-PCS codes are used for inpatient documentation when a removal operation from the nasal bone is performed, such as extraction of hardware, implants, or bony fragments. Accurate coding within the ICD-10-PCS 0NPB group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Nasal Bone Removal Procedure Overview

Procedures in this group involve the removal operation performed on the nasal bone within the head and facial bones body system. These inpatient procedures remove hardware, implants, fragments, or other devices from the nasal bone and adjacent bony structures of the nose. Accurate ICD-10-PCS coding ensures the procedure is properly documented and supports appropriate inpatient reimbursement and case mix assignment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
N	Body System	Head and Facial Bones
P	Operation	Removal
B	Body Part	Nasal Bone

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ICD-10-PCS Code For Nasal Bone: Procedure Code Group Overview

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Nasal Bone Removal Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
N	Body System	Head and Facial Bones
P	Operation	Removal
B	Body Part	Nasal Bone

When to Use

Use a code from this group when an inpatient procedure involves removing hardware, implants, or bone fragments from the nasal bone. Assign these codes when the primary documented operation is removal of devices or materials from the nasal bone during the hospital stay.

ICD-10-PCS Codes

25 rows

ICD-10-PCS Code	Description
0NPB00Z	Removal of Drainage Device from Nasal Bone, Open Approach
0NPB04Z	Removal of Internal Fixation Device from Nasal Bone, Open Approach
0NPB05Z	Removal of External Fixation Device from Nasal Bone, Open Approach
0NPB07Z	Removal of Autologous Tissue Substitute from Nasal Bone, Open Approach
0NPB0JZ	Removal of Synthetic Substitute from Nasal Bone, Open Approach
0NPB0KZ	Removal of Nonautologous Tissue Substitute from Nasal Bone, Open Approach
0NPB0MZ	Removal of Bone Growth Stimulator from Nasal Bone, Open Approach
0NPB30Z	Removal of Drainage Device from Nasal Bone, Percutaneous Approach
0NPB34Z	Removal of Internal Fixation Device from Nasal Bone, Percutaneous Approach
0NPB35Z	Removal of External Fixation Device from Nasal Bone, Percutaneous Approach

Showing 1–10 of 25

DRG Codes

5 rows

DRG Code	Description
023	Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Antineoplastic Implant or Epilepsy with Neurostimulator
024	Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCC
025	Craniotomy and Endovascular Intracranial Procedures with MCC
026	Craniotomy and Endovascular Intracranial Procedures with CC
027	Craniotomy and Endovascular Intracranial Procedures without CC/MCC

Typical Clinical Scenarios

A 28-year-old patient presents to the emergency department after a motor vehicle collision with displaced nasal bone fractures and an open wound overlying previously placed internal fixation hardware. Imaging and exam demonstrate exposed plates and wires with risk for infection, so during the same inpatient admission the surgical team performs removal of the internal fixation device from the nasal bone via an open approach after irrigation and debridement. The primary operation documented is removal of the implanted hardware from the nasal bone to control contamination and allow definitive soft tissue management. Typical codes: 0NPB04Z
A 45-year-old patient is admitted electively for removal of an internal fixation plate placed previously for a healed nasal bone fracture that now causes chronic tenderness and prominence. After preoperative assessment, the surgeon removes the internal fixation device from the nasal bone through a planned percutaneous approach to minimize tissue disruption. The procedure is scheduled inpatient because of comorbidities requiring overnight monitoring. Typical codes: 0NPB34Z
A 60-year-old diabetic patient develops a persistent seroma and nonhealing sinus over a nasal bone bone growth stimulator implanted after prior reconstructive surgery. Because conservative measures fail and there is concern for ongoing drainage and infection, the team performs removal of the bone growth stimulator from the nasal bone via an external approach during an inpatient admission for infection control and wound management. The primary documented operation is removal of the bone growth stimulator device. Typical codes: 0NPBXMZ

Related Codes

0NP0-SKULL-REMOVAL

ICD-10-PCS Code For Skull: Procedure Code Group Overview

0NPW-FACIAL-BONE-REMOVAL

ICD-10-PCS Code For Facial Bone: Procedure Code Group Overview

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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When to Use

ICD-10-PCS Codes

25 rows

ICD-10-PCS Code	Description
0NPB00Z	Removal of Drainage Device from Nasal Bone, Open Approach
0NPB04Z	Removal of Internal Fixation Device from Nasal Bone, Open Approach
0NPB05Z	Removal of External Fixation Device from Nasal Bone, Open Approach
0NPB07Z	Removal of Autologous Tissue Substitute from Nasal Bone, Open Approach
0NPB0JZ	Removal of Synthetic Substitute from Nasal Bone, Open Approach
0NPB0KZ	Removal of Nonautologous Tissue Substitute from Nasal Bone, Open Approach
0NPB0MZ	Removal of Bone Growth Stimulator from Nasal Bone, Open Approach
0NPB30Z	Removal of Drainage Device from Nasal Bone, Percutaneous Approach
0NPB34Z	Removal of Internal Fixation Device from Nasal Bone, Percutaneous Approach
0NPB35Z	Removal of External Fixation Device from Nasal Bone, Percutaneous Approach

Showing 1–10 of 25

DRG Codes

5 rows

DRG Code	Description
023	Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Antineoplastic Implant or Epilepsy with Neurostimulator
024	Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCC
025	Craniotomy and Endovascular Intracranial Procedures with MCC
026	Craniotomy and Endovascular Intracranial Procedures with CC
027	Craniotomy and Endovascular Intracranial Procedures without CC/MCC

Typical Clinical Scenarios

A 28-year-old patient presents to the emergency department after a motor vehicle collision with displaced nasal bone fractures and an open wound overlying previously placed internal fixation hardware. Imaging and exam demonstrate exposed plates and wires with risk for infection, so during the same inpatient admission the surgical team performs removal of the internal fixation device from the nasal bone via an open approach after irrigation and debridement. The primary operation documented is removal of the implanted hardware from the nasal bone to control contamination and allow definitive soft tissue management. Typical codes: 0NPB04Z
A 45-year-old patient is admitted electively for removal of an internal fixation plate placed previously for a healed nasal bone fracture that now causes chronic tenderness and prominence. After preoperative assessment, the surgeon removes the internal fixation device from the nasal bone through a planned percutaneous approach to minimize tissue disruption. The procedure is scheduled inpatient because of comorbidities requiring overnight monitoring. Typical codes: 0NPB34Z
A 60-year-old diabetic patient develops a persistent seroma and nonhealing sinus over a nasal bone bone growth stimulator implanted after prior reconstructive surgery. Because conservative measures fail and there is concern for ongoing drainage and infection, the team performs removal of the bone growth stimulator from the nasal bone via an external approach during an inpatient admission for infection control and wound management. The primary documented operation is removal of the bone growth stimulator device. Typical codes: 0NPBXMZ

Related Codes

0NP0-SKULL-REMOVAL

ICD-10-PCS Code For Skull: Procedure Code Group Overview

0NPW-FACIAL-BONE-REMOVAL

ICD-10-PCS Code For Facial Bone: Procedure Code Group Overview

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-PCS Code For Nasal Bone: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Nasal Bone: Procedure Code Group Overview policy alerts

Nasal Bone Removal Procedure Overview

Code Attributes

ICD-10-PCS Code For Nasal Bone: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Nasal Bone: Procedure Code Group Overview policy alerts

Nasal Bone Removal Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does the ICD-10-PCS 0NPB group represent?

What types of items or materials are captured by codes in 0NPB?

How does approach affect code selection within the 0NPB group?

Can you list examples of specific ICD-10-PCS codes in this group for removal of an internal fixation device?

Which DRGs are related to procedures in the 0NPB group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does the ICD-10-PCS 0NPB group represent?

What types of items or materials are captured by codes in 0NPB?

How does approach affect code selection within the 0NPB group?

Can you list examples of specific ICD-10-PCS codes in this group for removal of an internal fixation device?

Which DRGs are related to procedures in the 0NPB group?

References