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ICD-10-PCS 2027 procedure code

0PHP45ZInsertion of External Fixation Device into Right Metacarpal, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Insertion of Ext Fix into R Metacarpal, 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 0PHP45Z

0PHP45Z is the ICD-10-PCS code for a insertion procedure on the right metacarpal using a percutaneous endoscopic approach with external fixation device. In ICD-10-PCS, insertion means putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part.

In plain terms, this corresponds to application of external fixator device, carpals and metacarpals, the ICD-9-CM procedure title it maps to (78.14).

For a different body part, codes include 0PHC45Z (right humeral head), 0PHD45Z (left humeral head), 0PHF45Z (right humeral shaft), 0PHG45Z (left humeral shaft), 0PHH45Z (right radius), 0PHJ45Z (left radius) and 9 more.

The same procedure with a different approach is coded 0PHP05Z (open) and 0PHP35Z (percutaneous).

With a different device, use 0PHP44Z (internal fixation device).

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.

What each character means

1. Section
0Medical and Surgical
2. Body System
PUpper Bones
3. Operation
HInsertion

Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part

Includes: Insertion of radioactive implant, insertion of central venous catheter

4. Body Part
PMetacarpal, Right
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
5External Fixation Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

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 →
  • 78.14Application of external fixator device, 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 0PHP45Z

Is 0PHP45Z a valid ICD-10-PCS code for 2027?

Yes. 0PHP45Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0PHP45Z an O.R. procedure?

Yes. 0PHP45Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0PHP45Z group to?

Depending on the principal diagnosis, 0PHP45Z can group to MS-DRG 513, MS-DRG 514, MS-DRG 906, MS-DRG 957, MS-DRG 958 and MS-DRG 959.

What is the ICD-9 procedure code for 0PHP45Z?

The CMS GEMs map 0PHP45Z to ICD-9-CM 78.14 (Application of external fixator device, carpals and metacarpals).