ICD-10-PCS 2027 procedure code
0RBC4ZXExcision of Right Temporomandibular Joint, Percutaneous Endoscopic Approach, Diagnostic
Short description: Excision of R Temporomandib Jt, 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 0RBC4ZX
0RBC4ZX is the ICD-10-PCS code for a excision procedure on the right temporomandibular joint 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 facial bone, the ICD-9-CM procedure title it maps to (76.11).
For a different body part, codes include 0RB04ZX (occipital-cervical joint), 0RB14ZX (cervical vertebral joint), 0RB34ZX (cervical vertebral disc), 0RB44ZX (cervicothoracic vertebral joint), 0RB54ZX (cervicothoracic vertebral disc), 0RB64ZX (thoracic vertebral joint) and 22 more.
The same procedure with a different approach is coded 0RBC0ZX (open) and 0RBC3ZX (percutaneous).
It is an operating-room procedure in the MS-DRG logic for DRG 143 (Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC), DRG 144 (Other Ear, Nose, Mouth and Throat O.R. Procedures with CC), DRG 145 (Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC), DRG 477 (Biopsies of Musculoskeletal System and Connective Tissue with MCC or Insertion of Antibiotic-eluting Bone Void Filler), DRG 478 (Biopsies of Musculoskeletal System and Connective Tissue with CC) and DRG 479 (Biopsies of Musculoskeletal System and Connective Tissue without CC/MCC), under the surgical categories “Other Ear, Nose, Mouth and Throat O.R. Procedures” and “Biopsies of Musculoskeletal System and Connective Tissue”.
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
- RUpper Joints
- 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
- CTemporomandibular Joint, 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
- ZNo Device
- 7. Qualifier
- XDiagnostic
Other versions of this procedure
Different body part
- 0RB04ZXOccipital-cervical Joint
- 0RB14ZXCervical Vertebral Joint
- 0RB34ZXCervical Vertebral Disc
- 0RB44ZXCervicothoracic Vertebral Joint
- 0RB54ZXCervicothoracic Vertebral Disc
- 0RB64ZXThoracic Vertebral Joint
- 0RB94ZXThoracic Vertebral Disc
- 0RBA4ZXThoracolumbar Vertebral Joint
- 0RBB4ZXThoracolumbar Vertebral Disc
- 0RBD4ZXTemporomandibular Joint, Left
- 0RBE4ZXSternoclavicular Joint, Right
- 0RBF4ZXSternoclavicular Joint, Left
Different approach
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 03 · Diseases and Disorders of the Ear, Nose, Mouth and Throat · Other Ear, Nose, Mouth and Throat O.R. Procedures
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Biopsies of Musculoskeletal System and Connective Tissue
ICD-9-CM equivalent
Converter →- 76.11Biopsy of facial boneapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 0RBC4ZX
Is 0RBC4ZX a valid ICD-10-PCS code for 2027?
- Yes. 0RBC4ZX is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RBC4ZX an O.R. procedure?
- Yes. 0RBC4ZX is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RBC4ZX group to?
- Depending on the principal diagnosis, 0RBC4ZX can group to MS-DRG 143, MS-DRG 144, MS-DRG 145, MS-DRG 477, MS-DRG 478 and MS-DRG 479.
What is the ICD-9 procedure code for 0RBC4ZX?
- The CMS GEMs map 0RBC4ZX to ICD-9-CM 76.11 (Biopsy of facial bone).