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ICD-10-PCS 2027 procedure code

0PRP37ZReplacement of Right Metacarpal with Autologous Tissue Substitute, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Short description: Replacement of R Metacarpal with Autol Sub, Perc 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 0PRP37Z

0PRP37Z is the ICD-10-PCS code for a replacement procedure on the right metacarpal using a percutaneous approach with autologous tissue substitute. In ICD-10-PCS, replacement means putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part.

In plain terms, this corresponds to bone graft, carpals and metacarpals, the ICD-9-CM procedure title it maps to (78.04).

For a different body part, codes include 0PR037Z (sternum), 0PR137Z (ribs, 1 to 2), 0PR237Z (ribs, 3 or more), 0PR337Z (cervical vertebra), 0PR437Z (thoracic vertebra), 0PR537Z (right scapula) and 20 more.

The same procedure with a different approach is coded 0PRP07Z (open) and 0PRP47Z (percutaneous endoscopic).

With a different device, use 0PRP3JZ (synthetic substitute) and 0PRP3KZ (nonautologous tissue substitute).

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
RReplacement

Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part

The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during the Replacement procedure. A Removal procedure is coded for taking out the device used in a previous replacement procedure

Includes: Total hip replacement, bone graft, free skin graft

4. Body Part
PMetacarpal, Right
5. Approach
3Percutaneous

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure

6. Device
7Autologous Tissue Substitute

Includes: Autograft; Cultured epidermal cell autograft; Epicel(R) cultured epidermal autograft

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 →
  • 78.04Bone graft, 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 0PRP37Z

Is 0PRP37Z a valid ICD-10-PCS code for 2027?

Yes. 0PRP37Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0PRP37Z an O.R. procedure?

Yes. 0PRP37Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0PRP37Z group to?

Depending on the principal diagnosis, 0PRP37Z 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 0PRP37Z?

The CMS GEMs map 0PRP37Z to ICD-9-CM 78.04 (Bone graft, carpals and metacarpals).