ICD-10-PCS 2027 procedure code
0RGQ03ZFusion of Right Carpal Joint with Sustained Compression Internal Fixation Device, Open Approach
Short description: Fusion R Carpal Jt w Int Fix Sustn Comprs, Open
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 0RGQ03Z
0RGQ03Z is the ICD-10-PCS code for a fusion procedure on the right carpal joint using an open 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 0RGL03Z (right elbow joint), 0RGM03Z (left elbow joint), 0RGN03Z (right wrist joint), 0RGP03Z (left wrist joint), 0RGR03Z (left carpal joint), 0RGS03Z (right carpometacarpal joint) and 5 more.
The same procedure with a different approach is coded 0RGQ33Z (percutaneous) and 0RGQ43Z (percutaneous endoscopic).
With a different device, use 0RGQ04Z (internal fixation device), 0RGQ05Z (external fixation device), 0RGQ07Z (autologous tissue substitute), 0RGQ0JZ (synthetic substitute) and 0RGQ0KZ (nonautologous tissue substitute).
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 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
- QCarpal Joint, Right
- 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
- 3Internal Fixation Device, Sustained Compression
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0RGL03ZElbow Joint, Right
- 0RGM03ZElbow Joint, Left
- 0RGN03ZWrist Joint, Right
- 0RGP03ZWrist Joint, Left
- 0RGR03ZCarpal Joint, Left
- 0RGS03ZCarpometacarpal Joint, Right
- 0RGT03ZCarpometacarpal Joint, Left
- 0RGU03ZMetacarpophalangeal Joint, Right
- 0RGV03ZMetacarpophalangeal Joint, Left
- 0RGW03ZFinger Phalangeal Joint, Right
- 0RGX03ZFinger Phalangeal Joint, Left
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 · Hand or Wrist Procedures, Except Major Thumb or Joint Procedures
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Hand Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2021 (effective 10/1/2020): Added
- No changes since FY2021.
Common questions about 0RGQ03Z
Is 0RGQ03Z a valid ICD-10-PCS code for 2027?
- Yes. 0RGQ03Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RGQ03Z an O.R. procedure?
- Yes. 0RGQ03Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RGQ03Z group to?
- Depending on the principal diagnosis, 0RGQ03Z can group to MS-DRG 513, MS-DRG 514, MS-DRG 906, MS-DRG 957, MS-DRG 958 and MS-DRG 959.