ICD-10-PCS 2027 procedure code
0RGS33ZFusion of Right Carpometacarpal Joint with Sustained Compression Internal Fixation Device, Percutaneous Approach
Short description: Fusion R Carpometacarp Jt w Int Fix Sustn Comprs, Perc
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 0RGS33Z
0RGS33Z is the ICD-10-PCS code for a fusion procedure on the right carpometacarpal joint using a percutaneous 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 0RGL33Z (right elbow joint), 0RGM33Z (left elbow joint), 0RGN33Z (right wrist joint), 0RGP33Z (left wrist joint), 0RGQ33Z (right carpal joint), 0RGR33Z (left carpal joint) and 5 more.
The same procedure with a different approach is coded 0RGS03Z (open) and 0RGS43Z (percutaneous endoscopic).
With a different device, use 0RGS34Z (internal fixation device), 0RGS35Z (external fixation device), 0RGS37Z (autologous tissue substitute), 0RGS3JZ (synthetic substitute) and 0RGS3KZ (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
- SCarpometacarpal Joint, Right
- 5. Approach
- 3Percutaneous
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure
- 6. Device
- 3Internal Fixation Device, Sustained Compression
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0RGL33ZElbow Joint, Right
- 0RGM33ZElbow Joint, Left
- 0RGN33ZWrist Joint, Right
- 0RGP33ZWrist Joint, Left
- 0RGQ33ZCarpal Joint, Right
- 0RGR33ZCarpal Joint, Left
- 0RGT33ZCarpometacarpal Joint, Left
- 0RGU33ZMetacarpophalangeal Joint, Right
- 0RGV33ZMetacarpophalangeal Joint, Left
- 0RGW33ZFinger Phalangeal Joint, Right
- 0RGX33ZFinger 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 0RGS33Z
Is 0RGS33Z a valid ICD-10-PCS code for 2027?
- Yes. 0RGS33Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RGS33Z an O.R. procedure?
- Yes. 0RGS33Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RGS33Z group to?
- Depending on the principal diagnosis, 0RGS33Z can group to MS-DRG 513, MS-DRG 514, MS-DRG 906, MS-DRG 957, MS-DRG 958 and MS-DRG 959.