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ICD-10-PCS 2027 procedure code

0RPR4KZRemoval of Nonautologous Tissue Substitute from Left Carpal Joint, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Nonaut 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 0RPR4KZ

0RPR4KZ is the ICD-10-PCS code for a removal procedure on the left carpal joint using a percutaneous endoscopic approach with nonautologous tissue substitute. 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 0RP04KZ (occipital-cervical joint), 0RP14KZ (cervical vertebral joint), 0RP34KZ (cervical vertebral disc), 0RP44KZ (cervicothoracic vertebral joint), 0RP54KZ (cervicothoracic vertebral disc), 0RP64KZ (thoracic vertebral joint) and 22 more.

The same procedure with a different approach is coded 0RPR0KZ (open) and 0RPR3KZ (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 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
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
KNonautologous Tissue Substitute

Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft

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 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

  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 0RPR4KZ

Is 0RPR4KZ a valid ICD-10-PCS code for 2027?

Yes. 0RPR4KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RPR4KZ an O.R. procedure?

Yes. 0RPR4KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RPR4KZ group to?

Depending on the principal diagnosis, 0RPR4KZ can group to MS-DRG 506 and MS-DRG 906.

What is the ICD-9 procedure code for 0RPR4KZ?

The CMS GEMs map 0RPR4KZ to ICD-9-CM 80.14 (Other arthrotomy, hand and finger).