0M5R4ZZDestruction of Left Ankle Bursa and Ligament, Percutaneous Endoscopic Approach

0M5R4ZZ is the ICD-10-PCS code for a destruction procedure on the left ankle 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, ankle, the ICD-9-CM procedure titles it maps to (80.80 and 80.87).

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 0M5R0ZZ (open) and 0M5R3ZZ (percutaneous).

It is an operating-room procedure in the MS-DRG logic for DRG 492 (Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with MCC or Insertion of Antibiotic-eluting Bone Void Filler), DRG 493 (Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with CC), DRG 494 (Lower Extremity and Humerus Procedures Except Hip, Foot and Femur without CC/MCC), DRG 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC) and DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), under the surgical categories “Lower Extremity and Humerus Procedures Except Hip, Foot and Femur”, “Other O.R. 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.