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ICD-10-PCS 2027 procedure code

0RPR4JZRemoval of Synthetic Substitute from Left Carpal Joint, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Synth Sub from L Carpal 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 0RPR4JZ

0RPR4JZ is the ICD-10-PCS code for a removal procedure on the left carpal joint using a percutaneous endoscopic approach with synthetic substitute. In ICD-10-PCS, removal means taking out or off a device from a body part.

In plain terms, this corresponds to arthrotomy for removal of prosthesis without replacement, hand and finger, the ICD-9-CM procedure title it maps to (80.04).

For a different body part, codes include 0RP04JZ (occipital-cervical joint), 0RP14JZ (cervical vertebral joint), 0RP34JZ (cervical vertebral disc), 0RP44JZ (cervicothoracic vertebral joint), 0RP54JZ (cervicothoracic vertebral disc), 0RP64JZ (thoracic vertebral joint) and 22 more.

The same procedure with a different approach is coded 0RPR0JZ (open) and 0RPR3JZ (percutaneous).

With a different device, use 0RPR40Z (drainage device), 0RPR43Z (infusion device), 0RPR44Z (internal fixation device), 0RPR45Z (external fixation device), 0RPR47Z (autologous tissue substitute), 0RPR48Z (spacer) and 1 more.

It is an operating-room procedure in the MS-DRG logic for 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), DRG 497 (Local Excision and Removal of Internal Fixation Devices Except Hip and Femur without CC/MCC), DRG 906 (Hand Procedures for Injuries), DRG 957 (Other O.R. Procedures for Multiple Significant Trauma with MCC) and DRG 958 (Other O.R. Procedures for Multiple Significant Trauma with CC), under the surgical categories “Local Excision and Removal of Internal Fixation Devices Except Hip and Femur”, “Hand Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.

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
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
JSynthetic Substitute

Includes: AbioCor(R) Total Replacement Heart; AMPLATZER(R) Muscular VSD Occluder; Annuloplasty ring; Bard(R) Composix(R) (E/X)(LP) mesh; Bard(R) Composix(R) Kugel(R) patch; Bard(R) Dulex(tm) mesh; Bard(R) Ventralex(tm) hernia patch; Barricaid(R) Annular Closure Device (ACD); BRYAN(R) Cervical Disc System; Corvia IASD(R); Ex-PRESS(tm) mini glaucoma shunt; Flexible Composite Mesh; GORE(R) ACUSEAL Vascular Graft; GORE(R) CARDIOFORM Septal Occluder; GORE(R) DUALMESH(R); GORE(R) PROPATEN(R) Vascular Graft; GORE(R) VIATORR(R) TIPS Endoprosthesis; Holter valve ventricular shunt; IASD(R) (InterAtrial Shunt Device), Corvia; InterAtrial Shunt Device IASD(R), Corvia; LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System; MitraClip valve repair system; Nitinol framed polymer mesh; Open Pivot (mechanical) valve; Open Pivot Aortic Valve Graft (AVG); Partially absorbable mesh; PHYSIOMESH(tm) Flexible Composite Mesh; Polymethylmethacrylate (PMMA); Polypropylene mesh; PRESTIGE(R) Cervical Disc; PROCEED(tm) Ventral Patch; Prodisc-C; Prodisc-L; PROLENE Polypropylene Hernia System (PHS); Rebound HRD(R) (Hernia Repair Device); SynCardia Total Artificial Heart; Total artificial (replacement) heart; ULTRAPRO Hernia System (UHS); ULTRAPRO Partially Absorbable Lightweight Mesh; ULTRAPRO Plug; V-Wave Interatrial Shunt System; Ventrio(tm) Hernia Patch; Zimmer(R) NexGen(R) LPS Mobile Bearing Knee; Zimmer(R) NexGen(R) LPS-Flex Mobile Knee

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 21 · Injuries, Poisonings and Toxic Effects of Drugs · Hand Procedures for Injuries

ICD-9-CM equivalent

Converter →
  • 80.04Arthrotomy for removal of prosthesis without replacement, hand and fingerapproximate

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 0RPR4JZ

Is 0RPR4JZ a valid ICD-10-PCS code for 2027?

Yes. 0RPR4JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RPR4JZ an O.R. procedure?

Yes. 0RPR4JZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RPR4JZ group to?

Depending on the principal diagnosis, 0RPR4JZ can group to MS-DRG 495, MS-DRG 496, MS-DRG 497, MS-DRG 906, MS-DRG 957 and MS-DRG 958.

What is the ICD-9 procedure code for 0RPR4JZ?

The CMS GEMs map 0RPR4JZ to ICD-9-CM 80.04 (Arthrotomy for removal of prosthesis without replacement, hand and finger).