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ICD-10-PCS 2027 procedure code

0RHM45ZInsertion of External Fixation Device into Left Elbow Joint, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Insertion of Ext Fix into L Elbow Jt, Perc Endo 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 0RHM45Z

0RHM45Z is the ICD-10-PCS code for a insertion procedure on the left elbow joint using a percutaneous endoscopic approach with external 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, elbow, the ICD-9-CM procedure title it maps to (80.12).

For a different body part, codes include 0RHL45Z (right elbow joint), 0RHN45Z (right wrist joint), 0RHP45Z (left wrist joint), 0RHQ45Z (right carpal joint), 0RHR45Z (left carpal joint), 0RHS45Z (right carpometacarpal joint) and 5 more.

The same procedure with a different approach is coded 0RHM05Z (open) and 0RHM35Z (percutaneous).

With a different device, use 0RHM43Z (infusion device), 0RHM44Z (internal fixation device) and 0RHM48Z (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) and DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), under the surgical categories “Major Shoulder or Elbow Joint Procedures” and “Other O.R. Procedures for Injuries”.

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
MElbow Joint, Left

Includes: Distal humerus, involving joint; Humeroradial joint; Humeroulnar joint; Proximal radioulnar joint

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
5External 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 →
  • 80.12Other arthrotomy, elbowapproximate

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 0RHM45Z

Is 0RHM45Z a valid ICD-10-PCS code for 2027?

Yes. 0RHM45Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RHM45Z an O.R. procedure?

Yes. 0RHM45Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RHM45Z group to?

Depending on the principal diagnosis, 0RHM45Z can group to MS-DRG 507, MS-DRG 508, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0RHM45Z?

The CMS GEMs map 0RHM45Z to ICD-9-CM 80.12 (Other arthrotomy, elbow).