Skip to content
Dx

ICD-10-PCS 2027 procedure code

0RPU34ZRemoval of Internal Fixation Device from Right Metacarpophalangeal Joint, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Int Fix from R Metacarpophal Jt, Perc 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 0RPU34Z

0RPU34Z is the ICD-10-PCS code for a removal procedure on the right metacarpophalangeal joint using a percutaneous 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 other arthrotomy, hand and finger, the ICD-9-CM procedure title it maps to (80.14).

For a different body part, codes include 0RP034Z (occipital-cervical joint), 0RP134Z (cervical vertebral joint), 0RP434Z (cervicothoracic vertebral joint), 0RP634Z (thoracic vertebral joint), 0RPA34Z (thoracolumbar vertebral joint), 0RPC34Z (right temporomandibular joint) and 18 more.

The same procedure with a different approach is coded 0RPU04Z (open), 0RPU44Z (percutaneous endoscopic) and 0RPUX4Z (external).

With a different device, use 0RPU30Z (drainage device), 0RPU33Z (infusion device), 0RPU35Z (external fixation device), 0RPU37Z (autologous tissue substitute), 0RPU38Z (spacer), 0RPU3JZ (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
UMetacarpophalangeal Joint, Right
5. Approach
3Percutaneous

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure

6. Device
4Internal Fixation Device
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 0RPU34Z

Is 0RPU34Z a valid ICD-10-PCS code for 2027?

Yes. 0RPU34Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RPU34Z an O.R. procedure?

Yes. 0RPU34Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RPU34Z group to?

Depending on the principal diagnosis, 0RPU34Z can group to MS-DRG 506 and MS-DRG 906.

What is the ICD-9 procedure code for 0RPU34Z?

The CMS GEMs map 0RPU34Z to ICD-9-CM 80.14 (Other arthrotomy, hand and finger).