0RGU45ZFusion of Right Metacarpophalangeal Joint with External Fixation Device, Percutaneous Endoscopic Approach

0RGU45Z is the ICD-10-PCS code for a fusion procedure on the right metacarpophalangeal 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 metacarpophalangeal fusion, the ICD-9-CM procedure title it maps to (81.27).

For a different body part, codes include 0RGL45Z (right elbow joint), 0RGM45Z (left elbow joint), 0RGN45Z (right wrist joint), 0RGP45Z (left wrist joint), 0RGQ45Z (right carpal joint), 0RGR45Z (left carpal joint) and 5 more.

The same procedure with a different approach is coded 0RGU05Z (open) and 0RGU35Z (percutaneous).

With a different device, use 0RGU43Z (internal fixation device, sustained compression), 0RGU44Z (internal fixation device), 0RGU47Z (autologous tissue substitute), 0RGU4JZ (synthetic substitute) and 0RGU4KZ (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 has been valid since ICD-10-PCS took effect on October 1, 2015.