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ICD-10-PCS 2027 procedure code

0PBQ4ZXExcision of Left Metacarpal, Percutaneous Endoscopic Approach, Diagnostic

✓ Valid for 2027O.R. procedure

Short description: Excision of Left Metacarpal, Perc Endo Approach, Diagn

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 0PBQ4ZX

0PBQ4ZX is the ICD-10-PCS code for a excision procedure on the left metacarpal using a percutaneous endoscopic approach (qualifier: diagnostic). In ICD-10-PCS, excision means cutting out or off, without replacement, a portion of a body part.

In plain terms, this corresponds to biopsy of bone, carpals and metacarpals, the ICD-9-CM procedure title it maps to (77.44).

For a different body part, codes include 0PB04ZX (sternum), 0PB14ZX (ribs, 1 to 2), 0PB24ZX (ribs, 3 or more), 0PB34ZX (cervical vertebra), 0PB44ZX (thoracic vertebra), 0PB54ZX (right scapula) and 20 more.

The same procedure with a different approach is coded 0PBQ0ZX (open) and 0PBQ3ZX (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 579 (Other Skin, Subcutaneous Tissue and Breast Procedures with MCC), DRG 580 (Other Skin, Subcutaneous Tissue and Breast Procedures with CC), DRG 581 (Other Skin, Subcutaneous Tissue and Breast Procedures without CC/MCC) and DRG 628 (Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC or Insertion of Antibiotic-eluting Bone Void Filler), under the surgical categories “Hand or Wrist Procedures, Except Major Thumb or Joint Procedures”, “Other Skin, Subcutaneous Tissue and Breast Procedures”, “Other Endocrine, Nutritional and Metabolic O.R. Procedures” and 5 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
PUpper Bones
3. Operation
BExcision

Cutting out or off, without replacement, a portion of a body part

The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies

Includes: Partial nephrectomy, liver biopsy

4. Body Part
QMetacarpal, Left
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
XDiagnostic

Other versions of this procedure

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

MDC 12 · Diseases and Disorders of the Male Reproductive System · Other Male Reproductive System O.R. Procedures

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

ICD-9-CM equivalent

Converter →
  • 77.44Biopsy of bone, carpals and metacarpalsapproximate

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 0PBQ4ZX

Is 0PBQ4ZX a valid ICD-10-PCS code for 2027?

Yes. 0PBQ4ZX is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0PBQ4ZX an O.R. procedure?

Yes. 0PBQ4ZX is an O.R. procedure in MS-DRG v44.0.

What DRG does 0PBQ4ZX group to?

Depending on the principal diagnosis, 0PBQ4ZX can group to MS-DRG 513, MS-DRG 514, MS-DRG 579, MS-DRG 580, MS-DRG 581 and MS-DRG 628.

What is the ICD-9 procedure code for 0PBQ4ZX?

The CMS GEMs map 0PBQ4ZX to ICD-9-CM 77.44 (Biopsy of bone, carpals and metacarpals).