0RPD44ZRemoval of Internal Fixation Device from Left Temporomandibular Joint, Percutaneous Endoscopic Approach

0RPD44Z is the ICD-10-PCS code for a removal procedure on the left temporomandibular joint using a percutaneous endoscopic approach with internal fixation device. In ICD-10-PCS, removal means taking out or off a device from a body part.

In plain terms, this corresponds to removal of internal fixation device from facial bone, the ICD-9-CM procedure title it maps to (76.97).

For a different body part, codes include 0RP044Z (occipital-cervical joint), 0RP144Z (cervical vertebral joint), 0RP444Z (cervicothoracic vertebral joint), 0RP644Z (thoracic vertebral joint), 0RPA44Z (thoracolumbar vertebral joint), 0RPC44Z (right temporomandibular joint) and 18 more.

The same procedure with a different approach is coded 0RPD04Z (open), 0RPD34Z (percutaneous) and 0RPDX4Z (external).

With a different device, use 0RPD40Z (drainage device), 0RPD43Z (infusion device), 0RPD47Z (autologous tissue substitute), 0RPD48Z (spacer), 0RPD4JZ (synthetic substitute) and 0RPD4KZ (nonautologous tissue substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 143 (Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC), DRG 144 (Other Ear, Nose, Mouth and Throat O.R. Procedures with CC), DRG 145 (Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC), DRG 495 (Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with MCC), DRG 496 (Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with CC) and DRG 497 (Local Excision and Removal of Internal Fixation Devices Except Hip and Femur without CC/MCC), under the surgical categories “Other Ear, Nose, Mouth and Throat O.R. Procedures”, “Local Excision and Removal of Internal Fixation Devices Except Hip and Femur”, “Other O.R. Procedures for Injuries” and 1 more.

It has been valid since ICD-10-PCS took effect on October 1, 2015.