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ICD-10-PCS 2027 procedure code

0RHG04ZInsertion of Internal Fixation Device into Right Acromioclavicular Joint, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Insertion of Int Fix into R Acromioclav Jt, Open Approach

Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0RHG04Z

0RHG04Z is the ICD-10-PCS code for a insertion procedure on the right acromioclavicular joint using an open approach with internal fixation device. In ICD-10-PCS, insertion means putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part.

In plain terms, this corresponds to other arthrotomy, shoulder, the ICD-9-CM procedure title it maps to (80.11).

For a different body part, codes include 0RH004Z (occipital-cervical joint), 0RH104Z (cervical vertebral joint), 0RH404Z (cervicothoracic vertebral joint), 0RH604Z (thoracic vertebral joint), 0RHA04Z (thoracolumbar vertebral joint), 0RHC04Z (right temporomandibular joint) and 18 more.

The same procedure with a different approach is coded 0RHG34Z (percutaneous) and 0RHG44Z (percutaneous endoscopic).

With a different device, use 0RHG03Z (infusion device) and 0RHG08Z (spacer).

It is an operating-room procedure in the MS-DRG logic for DRG 507 (Major Shoulder or Elbow Joint Procedures with CC/MCC), DRG 508 (Major Shoulder or Elbow Joint Procedures without CC/MCC), DRG 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC), DRG 909 (Other O.R. Procedures for Injuries without CC/MCC) and DRG 957 (Other O.R. Procedures for Multiple Significant Trauma with MCC), under the surgical categories “Major Shoulder or Elbow Joint Procedures”, “Other O.R. 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.

What each character means

1. Section
0Medical and Surgical
2. Body System
RUpper Joints
3. Operation
HInsertion

Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part

Includes: Insertion of radioactive implant, insertion of central venous catheter

4. Body Part
GAcromioclavicular 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
4Internal Fixation Device
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 · Major Shoulder or Elbow Joint Procedures

ICD-9-CM equivalent

Converter →
  • 80.11Other arthrotomy, shoulderapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

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
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 0RHG04Z

Is 0RHG04Z a valid ICD-10-PCS code for 2027?

Yes. 0RHG04Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RHG04Z an O.R. procedure?

Yes. 0RHG04Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RHG04Z group to?

Depending on the principal diagnosis, 0RHG04Z can group to MS-DRG 507, MS-DRG 508, MS-DRG 907, MS-DRG 908, MS-DRG 909 and MS-DRG 957.

What is the ICD-9 procedure code for 0RHG04Z?

The CMS GEMs map 0RHG04Z to ICD-9-CM 80.11 (Other arthrotomy, shoulder).