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ICD-10-PCS 2027 procedure code

0Q5P0ZZDestruction of Left Metatarsal, Open Approach

✓ Valid for 2027O.R. procedure

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 0Q5P0ZZ

0Q5P0ZZ is the ICD-10-PCS code for a destruction procedure on the left metatarsal using an open 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 local excision of lesion or tissue of bone, tarsals and metatarsals, the ICD-9-CM procedure title it maps to (77.68).

For a different body part, codes include 0Q500ZZ (lumbar vertebra), 0Q510ZZ (sacrum), 0Q520ZZ (right pelvic bone), 0Q530ZZ (left pelvic bone), 0Q540ZZ (right acetabulum), 0Q550ZZ (left acetabulum) and 18 more.

The same procedure with a different approach is coded 0Q5P3ZZ (percutaneous) and 0Q5P4ZZ (percutaneous endoscopic).

It is an operating-room procedure in the MS-DRG logic for DRG 503 (Foot Procedures with MCC), DRG 504 (Foot Procedures with CC), DRG 505 (Foot Procedures without CC/MCC), DRG 628 (Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC or Insertion of Antibiotic-eluting Bone Void Filler), DRG 629 (Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC) and DRG 630 (Other Endocrine, Nutritional and Metabolic O.R. Procedures without CC/MCC), under the surgical categories “Foot Procedures”, “Other Endocrine, Nutritional and Metabolic O.R. Procedures”, “Other O.R. Procedures for Injuries” and 1 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
QLower Bones
3. Operation
5Destruction

Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent

None of the body part is physically taken out

Includes: Fulguration of rectal polyp, cautery of skin lesion

4. Body Part
PMetatarsal, Left

Includes: Fibular sesamoid; Tibial sesamoid

5. Approach
0Open

Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

6. Device
ZNo 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 · Foot Procedures

ICD-9-CM equivalent

Converter →
  • 77.68Local excision of lesion or tissue of bone, tarsals and metatarsalsapproximate

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 0Q5P0ZZ

Is 0Q5P0ZZ a valid ICD-10-PCS code for 2027?

Yes. 0Q5P0ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0Q5P0ZZ an O.R. procedure?

Yes. 0Q5P0ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0Q5P0ZZ group to?

Depending on the principal diagnosis, 0Q5P0ZZ can group to MS-DRG 503, MS-DRG 504, MS-DRG 505, MS-DRG 628, MS-DRG 629 and MS-DRG 630.

What is the ICD-9 procedure code for 0Q5P0ZZ?

The CMS GEMs map 0Q5P0ZZ to ICD-9-CM 77.68 (Local excision of lesion or tissue of bone, tarsals and metatarsals).