ICD-10-PCS 2027 procedure code
0RPRX4ZRemoval of Internal Fixation Device from Left Carpal Joint, External Approach
Short description: Removal of Int Fix from L Carpal Jt, Extern 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 0RPRX4Z
0RPRX4Z is the ICD-10-PCS code for a removal procedure on the left carpal joint using an external 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 other therapeutic device, the ICD-9-CM procedure title it maps to (97.89).
For a different body part, codes include 0RP0X4Z (occipital-cervical joint), 0RP1X4Z (cervical vertebral joint), 0RP4X4Z (cervicothoracic vertebral joint), 0RP6X4Z (thoracic vertebral joint), 0RPAX4Z (thoracolumbar vertebral joint), 0RPCX4Z (right temporomandibular joint) and 18 more.
The same procedure with a different approach is coded 0RPR04Z (open), 0RPR34Z (percutaneous) and 0RPR44Z (percutaneous endoscopic).
With a different device, use 0RPRX0Z (drainage device), 0RPRX3Z (infusion device) and 0RPRX5Z (external fixation device).
It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.
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
- XExternal
Procedures performed directly on the skin or mucous membrane and procedures performed indirectly by the application of external force through the skin or mucous membrane
- 6. Device
- 4Internal Fixation Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0RP0X4ZOccipital-cervical Joint
- 0RP1X4ZCervical Vertebral Joint
- 0RP4X4ZCervicothoracic Vertebral Joint
- 0RP6X4ZThoracic Vertebral Joint
- 0RPAX4ZThoracolumbar Vertebral Joint
- 0RPCX4ZTemporomandibular Joint, Right
- 0RPDX4ZTemporomandibular Joint, Left
- 0RPEX4ZSternoclavicular Joint, Right
- 0RPFX4ZSternoclavicular Joint, Left
- 0RPGX4ZAcromioclavicular Joint, Right
- 0RPHX4ZAcromioclavicular Joint, Left
- 0RPJX4ZShoulder Joint, Right
Different approach
ICD-9-CM equivalent
Converter →- 97.89Removal of other therapeutic deviceapproximate
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 0RPRX4Z
Is 0RPRX4Z a valid ICD-10-PCS code for 2027?
- Yes. 0RPRX4Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
What is the ICD-9 procedure code for 0RPRX4Z?
- The CMS GEMs map 0RPRX4Z to ICD-9-CM 97.89 (Removal of other therapeutic device).