0M574ZZDestruction of Right Hand Bursa and Ligament, Percutaneous Endoscopic Approach

0M574ZZ is the ICD-10-PCS code for a destruction procedure on the right hand bursa and ligament using a percutaneous endoscopic approach. In ICD-10-PCS, destruction means physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent.

In plain terms, this corresponds to other local excision or destruction of lesion of joint, unspecified site and other local excision or destruction of lesion of joint, hand and finger, the ICD-9-CM procedure titles it maps to (80.80 and 80.84).

For a different body part, codes include 0M504ZZ (head and neck bursa and ligament), 0M514ZZ (right shoulder bursa and ligament), 0M524ZZ (left shoulder bursa and ligament), 0M534ZZ (right elbow bursa and ligament), 0M544ZZ (left elbow bursa and ligament), 0M554ZZ (right wrist bursa and ligament) and 21 more.

The same procedure with a different approach is coded 0M570ZZ (open) and 0M573ZZ (percutaneous).

It is an operating-room procedure in the MS-DRG logic for 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), DRG 906 (Hand Procedures for Injuries), DRG 957 (Other O.R. Procedures for Multiple Significant Trauma with MCC), DRG 958 (Other O.R. Procedures for Multiple Significant Trauma with CC) and DRG 959 (Other O.R. Procedures for Multiple Significant Trauma without CC/MCC), under the surgical categories “Hand or Wrist Procedures, Except Major Thumb or Joint Procedures”, “Hand Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.

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