0RGS03ZFusion of Right Carpometacarpal Joint with Sustained Compression Internal Fixation Device, Open Approach

0RGS03Z is the ICD-10-PCS code for a fusion procedure on the right carpometacarpal 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), 0RGQ03Z (right carpal joint), 0RGR03Z (left carpal joint) and 5 more.

The same procedure with a different approach is coded 0RGS33Z (percutaneous) and 0RGS43Z (percutaneous endoscopic).

With a different device, use 0RGS04Z (internal fixation device), 0RGS05Z (external fixation device), 0RGS07Z (autologous tissue substitute), 0RGS0JZ (synthetic substitute) and 0RGS0KZ (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.