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ICD-10-PCS 2027 procedure code

0RBW4ZZExcision of Right Finger Phalangeal Joint, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Excision of R Finger Phalanx Jt, 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 0RBW4ZZ

0RBW4ZZ is the ICD-10-PCS code for a excision procedure on the right finger phalangeal joint using a percutaneous endoscopic approach. In ICD-10-PCS, excision means cutting out or off, without replacement, a portion of a body part.

In plain terms, this corresponds to Synovectomy, hand and finger and other excision of joint, hand and finger, the ICD-9-CM procedure titles it maps to (80.74 and 80.94).

For a different body part, codes include 0RB04ZZ (occipital-cervical joint), 0RB14ZZ (cervical vertebral joint), 0RB34ZZ (cervical vertebral disc), 0RB44ZZ (cervicothoracic vertebral joint), 0RB54ZZ (cervicothoracic vertebral disc), 0RB64ZZ (thoracic vertebral joint) and 22 more.

The same procedure with a different approach is coded 0RBW0ZZ (open) and 0RBW3ZZ (percutaneous).

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
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
WFinger Phalangeal 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
ZNo Qualifier

Other versions of this procedure

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 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 →
  • 80.74Synovectomy, hand and fingerapproximate
  • 80.94Other excision of joint, hand and fingerapproximate

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 0RBW4ZZ

Is 0RBW4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0RBW4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RBW4ZZ an O.R. procedure?

Yes. 0RBW4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RBW4ZZ group to?

Depending on the principal diagnosis, 0RBW4ZZ 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 0RBW4ZZ?

The CMS GEMs map 0RBW4ZZ to ICD-9-CM 80.74 (Synovectomy, hand and finger) and 80.94 (Other excision of joint, hand and finger).