ICD-10-PCS 2027 procedure code
0RPR05ZRemoval of External Fixation Device from Left Carpal Joint, Open Approach
Short description: Removal of Ext Fix from L Carpal 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 0RPR05Z
0RPR05Z is the ICD-10-PCS code for a removal procedure on the left carpal joint using an open approach with external fixation device. In ICD-10-PCS, removal means taking out or off a device from 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 0RPL05Z (right elbow joint), 0RPM05Z (left elbow joint), 0RPN05Z (right wrist joint), 0RPP05Z (left wrist joint), 0RPQ05Z (right carpal joint), 0RPS05Z (right carpometacarpal joint) and 5 more.
The same procedure with a different approach is coded 0RPR35Z (percutaneous), 0RPR45Z (percutaneous endoscopic) and 0RPRX5Z (external).
With a different device, use 0RPR00Z (drainage device), 0RPR03Z (infusion device), 0RPR04Z (internal fixation device), 0RPR07Z (autologous tissue substitute), 0RPR08Z (spacer), 0RPR0JZ (synthetic substitute) and 1 more.
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
- PRemoval
Taking out or off a device from a body part
If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL
Includes: Drainage tube removal, cardiac pacemaker removal
- 4. Body Part
- RCarpal Joint, Left
Includes: Intercarpal joint; Midcarpal 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
- 5External Fixation Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0RPL05ZElbow Joint, Right
- 0RPM05ZElbow Joint, Left
- 0RPN05ZWrist Joint, Right
- 0RPP05ZWrist Joint, Left
- 0RPQ05ZCarpal Joint, Right
- 0RPS05ZCarpometacarpal Joint, Right
- 0RPT05ZCarpometacarpal Joint, Left
- 0RPU05ZMetacarpophalangeal Joint, Right
- 0RPV05ZMetacarpophalangeal Joint, Left
- 0RPW05ZFinger Phalangeal Joint, Right
- 0RPX05ZFinger 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 0RPR05Z
Is 0RPR05Z a valid ICD-10-PCS code for 2027?
- Yes. 0RPR05Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RPR05Z an O.R. procedure?
- Yes. 0RPR05Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RPR05Z group to?
- Depending on the principal diagnosis, 0RPR05Z can group to MS-DRG 506 and MS-DRG 906.
What is the ICD-9 procedure code for 0RPR05Z?
- The CMS GEMs map 0RPR05Z to ICD-9-CM 80.14 (Other arthrotomy, hand and finger).