ICD-10-PCS 2027 procedure code
0RCT4ZZExtirpation of Matter from Left Carpometacarpal Joint, Percutaneous Endoscopic Approach
Short description: Extirpate matter from L Carpometacarp Jt, Perc Endo
Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data
About 0RCT4ZZ
0RCT4ZZ is the ICD-10-PCS code for a extirpation procedure on the left carpometacarpal joint using a percutaneous endoscopic approach. In ICD-10-PCS, extirpation means taking or cutting out solid matter from a body part.
In plain terms, this corresponds to other arthrotomy, hand and finger, the ICD-9-CM procedure title it maps to (80.14).
For a different body part, codes include 0RC04ZZ (occipital-cervical joint), 0RC14ZZ (cervical vertebral joint), 0RC34ZZ (cervical vertebral disc), 0RC44ZZ (cervicothoracic vertebral joint), 0RC54ZZ (cervicothoracic vertebral disc), 0RC64ZZ (thoracic vertebral joint) and 22 more.
The same procedure with a different approach is coded 0RCT0ZZ (open) and 0RCT3ZZ (percutaneous).
It is an operating-room procedure in the MS-DRG logic for DRG 506 (Major Thumb or Joint Procedures) and DRG 906 (Hand Procedures for Injuries), under the surgical categories “Major Thumb or Joint Procedures” and “Hand Procedures for Injuries”.
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
- CExtirpation
Taking or cutting out solid matter from a body part
The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces
Includes: Thrombectomy, choledocholithotomy
- 4. Body Part
- TCarpometacarpal Joint, Left
- 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 body part
- 0RC04ZZOccipital-cervical Joint
- 0RC14ZZCervical Vertebral Joint
- 0RC34ZZCervical Vertebral Disc
- 0RC44ZZCervicothoracic Vertebral Joint
- 0RC54ZZCervicothoracic Vertebral Disc
- 0RC64ZZThoracic Vertebral Joint
- 0RC94ZZThoracic Vertebral Disc
- 0RCA4ZZThoracolumbar Vertebral Joint
- 0RCB4ZZThoracolumbar Vertebral Disc
- 0RCC4ZZTemporomandibular Joint, Right
- 0RCD4ZZTemporomandibular Joint, Left
- 0RCE4ZZSternoclavicular Joint, Right
Different approach
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 · Major Thumb or Joint Procedures
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Hand Procedures for Injuries
ICD-9-CM equivalent
Converter →- 80.14Other arthrotomy, hand and fingerapproximate
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)
- FY2018 (effective 10/1/2017): Title revised — was “Extirpation of Matter from Left Metacarpocarpal Joint, Percutaneous Endoscopic Approach”
Common questions about 0RCT4ZZ
Is 0RCT4ZZ a valid ICD-10-PCS code for 2027?
- Yes. 0RCT4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RCT4ZZ an O.R. procedure?
- Yes. 0RCT4ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RCT4ZZ group to?
- Depending on the principal diagnosis, 0RCT4ZZ can group to MS-DRG 506 and MS-DRG 906.
What is the ICD-9 procedure code for 0RCT4ZZ?
- The CMS GEMs map 0RCT4ZZ to ICD-9-CM 80.14 (Other arthrotomy, hand and finger).