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ICD-10-PCS 2027 procedure code

0RGS43ZFusion of Right Carpometacarpal Joint with Sustained Compression Internal Fixation Device, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Fusion R Carpometacarp 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 0RGS43Z

0RGS43Z is the ICD-10-PCS code for a fusion procedure on the right carpometacarpal 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), 0RGM43Z (left elbow joint), 0RGN43Z (right wrist joint), 0RGP43Z (left wrist joint), 0RGQ43Z (right carpal joint), 0RGR43Z (left carpal joint) and 5 more.

The same procedure with a different approach is coded 0RGS03Z (open) and 0RGS33Z (percutaneous).

With a different device, use 0RGS44Z (internal fixation device), 0RGS45Z (external fixation device), 0RGS47Z (autologous tissue substitute), 0RGS4JZ (synthetic substitute) and 0RGS4KZ (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
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 · Hand or Wrist Procedures, Except Major Thumb or Joint Procedures

MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Hand Procedures for Injuries

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 0RGS43Z

Is 0RGS43Z a valid ICD-10-PCS code for 2027?

Yes. 0RGS43Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RGS43Z an O.R. procedure?

Yes. 0RGS43Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RGS43Z group to?

Depending on the principal diagnosis, 0RGS43Z can group to MS-DRG 513, MS-DRG 514, MS-DRG 906, MS-DRG 957, MS-DRG 958 and MS-DRG 959.