ICD-10-PCS 2027 procedure code
0RHW35ZInsertion of External Fixation Device into Right Finger Phalangeal Joint, Percutaneous Approach
Short description: Insertion of Ext Fix into R Finger Phalanx Jt, Perc 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 0RHW35Z
0RHW35Z is the ICD-10-PCS code for a insertion procedure on the right finger phalangeal joint using a percutaneous 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, hand and finger, the ICD-9-CM procedure title it maps to (80.14).
For a different body part, codes include 0RHL35Z (right elbow joint), 0RHM35Z (left elbow joint), 0RHN35Z (right wrist joint), 0RHP35Z (left wrist joint), 0RHQ35Z (right carpal joint), 0RHR35Z (left carpal joint) and 5 more.
The same procedure with a different approach is coded 0RHW05Z (open) and 0RHW45Z (percutaneous endoscopic).
With a different device, use 0RHW33Z (infusion device), 0RHW34Z (internal fixation device) and 0RHW38Z (spacer).
It is an operating-room procedure in the MS-DRG logic for DRG 506 (Major Thumb or Joint Procedures) and DRG 906 (Hand Procedures for Injuries), under the surgical categories “Major Thumb or Joint Procedures” and “Hand 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
- WFinger Phalangeal 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
- 5External Fixation Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0RHL35ZElbow Joint, Right
- 0RHM35ZElbow Joint, Left
- 0RHN35ZWrist Joint, Right
- 0RHP35ZWrist Joint, Left
- 0RHQ35ZCarpal Joint, Right
- 0RHR35ZCarpal Joint, Left
- 0RHS35ZCarpometacarpal Joint, Right
- 0RHT35ZCarpometacarpal Joint, Left
- 0RHU35ZMetacarpophalangeal Joint, Right
- 0RHV35ZMetacarpophalangeal Joint, Left
- 0RHX35ZFinger 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 · Major Thumb or Joint Procedures
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Hand Procedures for Injuries
ICD-9-CM equivalent
Converter →- 80.14Other arthrotomy, hand and fingerapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 0RHW35Z
Is 0RHW35Z a valid ICD-10-PCS code for 2027?
- Yes. 0RHW35Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RHW35Z an O.R. procedure?
- Yes. 0RHW35Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RHW35Z group to?
- Depending on the principal diagnosis, 0RHW35Z can group to MS-DRG 506 and MS-DRG 906.
What is the ICD-9 procedure code for 0RHW35Z?
- The CMS GEMs map 0RHW35Z to ICD-9-CM 80.14 (Other arthrotomy, hand and finger).