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ICD-10-PCS 2027 procedure code

0RGM43ZFusion of Left Elbow Joint with Sustained Compression Internal Fixation Device, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Fusion L Elbow Jt w Int Fix Sustn Comprs, Perc Endo

Code last changed in FY2021 (effective October 1, 2020). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0RGM43Z

0RGM43Z is the ICD-10-PCS code for a fusion procedure on the left elbow joint using a percutaneous endoscopic approach with internal fixation device, sustained compression. In ICD-10-PCS, fusion means joining together portions of an articular body part rendering the articular body part immobile.

For a different body part, codes include 0RGL43Z (right elbow joint), 0RGN43Z (right wrist joint), 0RGP43Z (left wrist joint), 0RGQ43Z (right carpal joint), 0RGR43Z (left carpal joint), 0RGS43Z (right carpometacarpal joint) and 5 more.

The same procedure with a different approach is coded 0RGM03Z (open) and 0RGM33Z (percutaneous).

With a different device, use 0RGM44Z (internal fixation device), 0RGM45Z (external fixation device), 0RGM47Z (autologous tissue substitute), 0RGM4JZ (synthetic substitute) and 0RGM4KZ (nonautologous tissue substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 507 (Major Shoulder or Elbow Joint Procedures with CC/MCC), DRG 508 (Major Shoulder or Elbow Joint Procedures without CC/MCC), DRG 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC), DRG 909 (Other O.R. Procedures for Injuries without CC/MCC) and DRG 957 (Other O.R. Procedures for Multiple Significant Trauma with MCC), under the surgical categories “Major Shoulder or Elbow Joint Procedures”, “Other O.R. Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.

It was added in FY2021, effective October 1, 2020.

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
MElbow Joint, Left

Includes: Distal humerus, involving joint; Humeroradial joint; Humeroulnar joint; Proximal radioulnar joint

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
3Internal Fixation Device, Sustained Compression
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 · Major Shoulder or Elbow Joint Procedures

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
  • FY2021 (effective 10/1/2020): Added
  • No changes since FY2021.

Common questions about 0RGM43Z

Is 0RGM43Z a valid ICD-10-PCS code for 2027?

Yes. 0RGM43Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RGM43Z an O.R. procedure?

Yes. 0RGM43Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RGM43Z group to?

Depending on the principal diagnosis, 0RGM43Z can group to MS-DRG 507, MS-DRG 508, MS-DRG 907, MS-DRG 908, MS-DRG 909 and MS-DRG 957.