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ICD-10-PCS 2027 procedure code

0RGM45ZFusion of Left Elbow Joint with External Fixation Device, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Fusion of Left Elbow Joint with Ext Fix, 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 0RGM45Z

0RGM45Z is the ICD-10-PCS code for a fusion procedure on the left elbow joint using a percutaneous endoscopic approach with external 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 arthrodesis of elbow, the ICD-9-CM procedure title it maps to (81.24).

For a different body part, codes include 0RGL45Z (right elbow joint), 0RGN45Z (right wrist joint), 0RGP45Z (left wrist joint), 0RGQ45Z (right carpal joint), 0RGR45Z (left carpal joint), 0RGS45Z (right carpometacarpal joint) and 5 more.

The same procedure with a different approach is coded 0RGM05Z (open) and 0RGM35Z (percutaneous).

With a different device, use 0RGM43Z (internal fixation device, sustained compression), 0RGM44Z (internal 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 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
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
5External 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.

MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Major Shoulder or Elbow Joint Procedures

ICD-9-CM equivalent

Converter →
  • 81.24Arthrodesis of elbowapproximate

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 0RGM45Z

Is 0RGM45Z a valid ICD-10-PCS code for 2027?

Yes. 0RGM45Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RGM45Z an O.R. procedure?

Yes. 0RGM45Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RGM45Z group to?

Depending on the principal diagnosis, 0RGM45Z can group to MS-DRG 507, MS-DRG 508, MS-DRG 907, MS-DRG 908, MS-DRG 909 and MS-DRG 957.

What is the ICD-9 procedure code for 0RGM45Z?

The CMS GEMs map 0RGM45Z to ICD-9-CM 81.24 (Arthrodesis of elbow).