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ICD-10-PCS 2027 procedure code

0PSP45ZReposition Right Metacarpal with External Fixation Device, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Reposition Right Metacarpal with Ext Fix, 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 0PSP45Z

0PSP45Z is the ICD-10-PCS code for a reposition procedure on the right metacarpal using a percutaneous endoscopic approach with external fixation device. In ICD-10-PCS, reposition means moving to its normal location, or other suitable location, all or a portion of a body part.

In plain terms, this corresponds to application of external fixator device, carpals and metacarpals and closed reduction of fracture without internal fixation, carpals and metacarpals, the ICD-9-CM procedure titles it maps to (78.14 and 79.03).

For a different body part, codes include 0PSC45Z (right humeral head), 0PSD45Z (left humeral head), 0PSF45Z (right humeral shaft), 0PSG45Z (left humeral shaft), 0PSH45Z (right radius), 0PSJ45Z (left radius) and 9 more.

The same procedure with a different approach is coded 0PSP05Z (open) and 0PSP35Z (percutaneous).

With a different device, use 0PSP44Z (internal fixation device) and 0PSP4ZZ (no 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
SReposition

Moving to its normal location, or other suitable location, all or a portion of a body part

The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning correctly. The body part may or may not be cut out or off to be moved to the new location

Includes: Reposition of undescended testicle, fracture reduction

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, combination
  • 79.03Closed reduction of fracture without internal fixation, carpals and metacarpalsapproximate, combination

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 0PSP45Z

Is 0PSP45Z a valid ICD-10-PCS code for 2027?

Yes. 0PSP45Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0PSP45Z an O.R. procedure?

Yes. 0PSP45Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0PSP45Z group to?

Depending on the principal diagnosis, 0PSP45Z 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 0PSP45Z?

The CMS GEMs map 0PSP45Z to ICD-9-CM 78.14 (Application of external fixator device, carpals and metacarpals) and 79.03 (Closed reduction of fracture without internal fixation, carpals and metacarpals).