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ICD-10-PCS 2027 procedure code

0RGD04ZFusion of Left Temporomandibular Joint with Internal Fixation Device, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Fusion of L Temporomandib Jt with Int Fix, Open 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 0RGD04Z

0RGD04Z is the ICD-10-PCS code for a fusion procedure on the left temporomandibular joint using an open approach with internal fixation device. In ICD-10-PCS, fusion means joining together portions of an articular body part rendering the articular body part immobile.

In plain terms, this corresponds to other operations on facial bones and joints, the ICD-9-CM procedure title it maps to (76.99).

For a different body part, codes include 0RGC04Z (right temporomandibular joint), 0RGE04Z (right sternoclavicular joint), 0RGF04Z (left sternoclavicular joint), 0RGG04Z (right acromioclavicular joint), 0RGH04Z (left acromioclavicular joint), 0RGJ04Z (right shoulder joint) and 13 more.

The same procedure with a different approach is coded 0RGD34Z (percutaneous) and 0RGD44Z (percutaneous endoscopic).

With a different device, use 0RGD07Z (autologous tissue substitute), 0RGD0JZ (synthetic substitute) and 0RGD0KZ (nonautologous tissue substitute).

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 515 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC), DRG 516 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC) and DRG 517 (Other Musculoskeletal System and Connective Tissue O.R. Procedures without CC/MCC), under the surgical categories “Other Ear, Nose, Mouth and Throat O.R. Procedures”, “Other Musculoskeletal System and Connective Tissue 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
RUpper Joints
3. Operation
GFusion

Joining together portions of an articular body part rendering the articular body part immobile

The body part is joined together by fixation device, bone graft, or other means

Includes: Spinal fusion, ankle arthrodesis

4. Body Part
DTemporomandibular Joint, Left
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
4Internal 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.

ICD-9-CM equivalent

Converter →
  • 76.99Other operations on facial bones and jointsapproximate

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 0RGD04Z

Is 0RGD04Z a valid ICD-10-PCS code for 2027?

Yes. 0RGD04Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RGD04Z an O.R. procedure?

Yes. 0RGD04Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RGD04Z group to?

Depending on the principal diagnosis, 0RGD04Z can group to MS-DRG 143, MS-DRG 144, MS-DRG 145, MS-DRG 515, MS-DRG 516 and MS-DRG 517.

What is the ICD-9 procedure code for 0RGD04Z?

The CMS GEMs map 0RGD04Z to ICD-9-CM 76.99 (Other operations on facial bones and joints).