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ICD-10-PCS 2027 procedure code

0KUD4JZSupplement Left Hand Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Supplement L Hand Muscle with Synth Sub, Perc Endo Approach

Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0KUD4JZ

0KUD4JZ is the ICD-10-PCS code for a supplement procedure on the left hand muscle using a percutaneous endoscopic approach with synthetic substitute. In ICD-10-PCS, supplement means putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part.

In plain terms, this corresponds to plastic operation on hand with other graft or implant, the ICD-9-CM procedure title it maps to (82.79).

For a different body part, codes include 0KU04JZ (head muscle), 0KU14JZ (facial muscle), 0KU24JZ (right neck muscle), 0KU34JZ (left neck muscle), 0KU44JZ (tongue, palate, pharynx muscle), 0KU54JZ (right shoulder muscle) and 21 more.

The same procedure with a different approach is coded 0KUD0JZ (open).

With a different device, use 0KUD47Z (autologous tissue substitute) and 0KUD4KZ (nonautologous tissue substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 040 (Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC), DRG 041 (Peripheral, Cranial Nerve and Other Nervous System Procedures with CC or Peripheral Neurostimulator), DRG 042 (Peripheral, Cranial Nerve and Other Nervous System Procedures without CC/MCC), DRG 513 (Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with CC/MCC), DRG 514 (Hand or Wrist Procedures, Except Major Thumb or Joint Procedures without CC/MCC) and DRG 579 (Other Skin, Subcutaneous Tissue and Breast Procedures with MCC), under the surgical categories “Peripheral, Cranial Nerve and Other Nervous System Procedures”, “Hand or Wrist Procedures, Except Major Thumb or Joint Procedures”, “Other Skin, Subcutaneous Tissue and Breast Procedures” and 2 more.

It has been valid since ICD-10-PCS took effect on October 1, 2015.

What each character means

1. Section
0Medical and Surgical
2. Body System
KMuscles
3. Operation
USupplement

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

The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced, and the Supplement procedure is performed to physically reinforce and/or augment the function of the replaced body part

Includes: Herniorrhaphy using mesh, mitral valve ring annuloplasty, put a new acetabular liner in a previous hip replacement

4. Body Part
DHand Muscle, Left

Includes: Adductor pollicis muscle; Hypothenar muscle; Palmar interosseous muscle; Thenar muscle

5. Approach
4Percutaneous Endoscopic

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

6. Device
JSynthetic Substitute

Includes: AbioCor(R) Total Replacement Heart; AMPLATZER(R) Muscular VSD Occluder; Annuloplasty ring; Bard(R) Composix(R) (E/X)(LP) mesh; Bard(R) Composix(R) Kugel(R) patch; Bard(R) Dulex(tm) mesh; Bard(R) Ventralex(tm) hernia patch; Barricaid(R) Annular Closure Device (ACD); BRYAN(R) Cervical Disc System; Corvia IASD(R); Ex-PRESS(tm) mini glaucoma shunt; Flexible Composite Mesh; GORE(R) ACUSEAL Vascular Graft; GORE(R) CARDIOFORM Septal Occluder; GORE(R) DUALMESH(R); GORE(R) PROPATEN(R) Vascular Graft; GORE(R) VIATORR(R) TIPS Endoprosthesis; Holter valve ventricular shunt; IASD(R) (InterAtrial Shunt Device), Corvia; InterAtrial Shunt Device IASD(R), Corvia; LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System; MitraClip valve repair system; Nitinol framed polymer mesh; Open Pivot (mechanical) valve; Open Pivot Aortic Valve Graft (AVG); Partially absorbable mesh; PHYSIOMESH(tm) Flexible Composite Mesh; Polymethylmethacrylate (PMMA); Polypropylene mesh; PRESTIGE(R) Cervical Disc; PROCEED(tm) Ventral Patch; Prodisc-C; Prodisc-L; PROLENE Polypropylene Hernia System (PHS); Rebound HRD(R) (Hernia Repair Device); SynCardia Total Artificial Heart; Total artificial (replacement) heart; ULTRAPRO Hernia System (UHS); ULTRAPRO Partially Absorbable Lightweight Mesh; ULTRAPRO Plug; V-Wave Interatrial Shunt System; Ventrio(tm) Hernia Patch; Zimmer(R) NexGen(R) LPS Mobile Bearing Knee; Zimmer(R) NexGen(R) LPS-Flex Mobile Knee

7. Qualifier
ZNo Qualifier

Other versions of this procedure

Different approach

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Hand or Wrist Procedures, Except Major Thumb or Joint Procedures

MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Hand Procedures for Injuries

ICD-9-CM equivalent

Converter →
  • 82.79Plastic operation on hand with other graft or implantapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 0KUD4JZ

Is 0KUD4JZ a valid ICD-10-PCS code for 2027?

Yes. 0KUD4JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0KUD4JZ an O.R. procedure?

Yes. 0KUD4JZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0KUD4JZ group to?

Depending on the principal diagnosis, 0KUD4JZ can group to MS-DRG 040, MS-DRG 041, MS-DRG 042, MS-DRG 513, MS-DRG 514 and MS-DRG 579.

What is the ICD-9 procedure code for 0KUD4JZ?

The CMS GEMs map 0KUD4JZ to ICD-9-CM 82.79 (Plastic operation on hand with other graft or implant).