ICD-10-PCS 2027 procedure code
0KXD4Z2Transfer Left Hand Muscle with Skin and Subcutaneous Tissue, Percutaneous Endoscopic Approach
Short description: Transfer L Hand Muscle with Skin, Subcu, 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 0KXD4Z2
0KXD4Z2 is the ICD-10-PCS code for a transfer procedure on the left hand muscle using a percutaneous endoscopic approach (qualifier: skin and subcutaneous tissue). In ICD-10-PCS, transfer means moving, without taking out, all or a portion of a body part to another location to take over the function of all or a portion of a body part.
In plain terms, this corresponds to other hand muscle transfer or transplantation, the ICD-9-CM procedure title it maps to (82.58).
For a different body part, codes include 0KX04Z2 (head muscle), 0KX14Z2 (facial muscle), 0KX24Z2 (right neck muscle), 0KX34Z2 (left neck muscle), 0KX44Z2 (tongue, palate, pharynx muscle), 0KX54Z2 (right shoulder muscle) and 21 more.
The same procedure with a different approach is coded 0KXD0Z2 (open).
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 906 (Hand Procedures for Injuries), under the surgical categories “Peripheral, Cranial Nerve and Other Nervous System Procedures”, “Hand or Wrist Procedures, Except Major Thumb or Joint Procedures”, “Hand Procedures for Injuries” and 1 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
- XTransfer
Moving, without taking out, all or a portion of a body part to another location to take over the function of all or a portion of a body part
The body part transferred remains connected to its vascular and nervous supply
Includes: Tendon transfer, skin pedicle flap transfer
- 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
- ZNo Device
- 7. Qualifier
- 2Skin and Subcutaneous Tissue
Other versions of this procedure
Different body part
- 0KX04Z2Head Muscle
- 0KX14Z2Facial Muscle
- 0KX24Z2Neck Muscle, Right
- 0KX34Z2Neck Muscle, Left
- 0KX44Z2Tongue, Palate, Pharynx Muscle
- 0KX54Z2Shoulder Muscle, Right
- 0KX64Z2Shoulder Muscle, Left
- 0KX74Z2Upper Arm Muscle, Right
- 0KX84Z2Upper Arm Muscle, Left
- 0KX94Z2Lower Arm and Wrist Muscle, Right
- 0KXB4Z2Lower Arm and Wrist Muscle, Left
- 0KXC4Z2Hand Muscle, Right
Different approach
Different qualifier
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 01 · Diseases and Disorders of the Nervous System · Peripheral, Cranial Nerve and Other Nervous System Procedures
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
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →- 82.58Other hand muscle transfer or transplantationapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 0KXD4Z2
Is 0KXD4Z2 a valid ICD-10-PCS code for 2027?
- Yes. 0KXD4Z2 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0KXD4Z2 an O.R. procedure?
- Yes. 0KXD4Z2 is an O.R. procedure in MS-DRG v44.0.
What DRG does 0KXD4Z2 group to?
- Depending on the principal diagnosis, 0KXD4Z2 can group to MS-DRG 040, MS-DRG 041, MS-DRG 042, MS-DRG 513, MS-DRG 514 and MS-DRG 906.
What is the ICD-9 procedure code for 0KXD4Z2?
- The CMS GEMs map 0KXD4Z2 to ICD-9-CM 82.58 (Other hand muscle transfer or transplantation).