ICD-10-PCS 2027 procedure code
0RHX04ZInsertion of Internal Fixation Device into Left Finger Phalangeal Joint, Open Approach
Short description: Insertion of Int Fix into L Finger Phalanx 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 0RHX04Z
0RHX04Z is the ICD-10-PCS code for a insertion procedure on the left finger phalangeal 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, hand and finger, the ICD-9-CM procedure title it maps to (80.14).
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 0RHX34Z (percutaneous) and 0RHX44Z (percutaneous endoscopic).
With a different device, use 0RHX03Z (infusion device), 0RHX05Z (external fixation device) and 0RHX08Z (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
- XFinger Phalangeal Joint, Left
Includes: Interphalangeal (IP) joint
- 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
Different body part
- 0RH004ZOccipital-cervical Joint
- 0RH104ZCervical Vertebral Joint
- 0RH404ZCervicothoracic Vertebral Joint
- 0RH604ZThoracic Vertebral Joint
- 0RHA04ZThoracolumbar Vertebral Joint
- 0RHC04ZTemporomandibular Joint, Right
- 0RHD04ZTemporomandibular Joint, Left
- 0RHE04ZSternoclavicular Joint, Right
- 0RHF04ZSternoclavicular Joint, Left
- 0RHG04ZAcromioclavicular Joint, Right
- 0RHH04ZAcromioclavicular Joint, Left
- 0RHJ04ZShoulder Joint, Right
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 0RHX04Z
Is 0RHX04Z a valid ICD-10-PCS code for 2027?
- Yes. 0RHX04Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RHX04Z an O.R. procedure?
- Yes. 0RHX04Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RHX04Z group to?
- Depending on the principal diagnosis, 0RHX04Z can group to MS-DRG 506 and MS-DRG 906.
What is the ICD-9 procedure code for 0RHX04Z?
- The CMS GEMs map 0RHX04Z to ICD-9-CM 80.14 (Other arthrotomy, hand and finger).