ICD-10-PCS 2027 procedure code
0RPU45ZRemoval of External Fixation Device from Right Metacarpophalangeal Joint, Percutaneous Endoscopic Approach
Short description: Remove Ext Fix from R Metacarpophal Jt, Perc Endo
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 0RPU45Z
0RPU45Z is the ICD-10-PCS code for a removal procedure on the right metacarpophalangeal joint using a percutaneous endoscopic 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 0RPL45Z (right elbow joint), 0RPM45Z (left elbow joint), 0RPN45Z (right wrist joint), 0RPP45Z (left wrist joint), 0RPQ45Z (right carpal joint), 0RPR45Z (left carpal joint) and 5 more.
The same procedure with a different approach is coded 0RPU05Z (open), 0RPU35Z (percutaneous) and 0RPUX5Z (external).
With a different device, use 0RPU40Z (drainage device), 0RPU43Z (infusion device), 0RPU44Z (internal fixation device), 0RPU47Z (autologous tissue substitute), 0RPU48Z (spacer), 0RPU4JZ (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
- 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
- 5External Fixation Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0RPL45ZElbow Joint, Right
- 0RPM45ZElbow Joint, Left
- 0RPN45ZWrist Joint, Right
- 0RPP45ZWrist Joint, Left
- 0RPQ45ZCarpal Joint, Right
- 0RPR45ZCarpal Joint, Left
- 0RPS45ZCarpometacarpal Joint, Right
- 0RPT45ZCarpometacarpal Joint, Left
- 0RPV45ZMetacarpophalangeal Joint, Left
- 0RPW45ZFinger Phalangeal Joint, Right
- 0RPX45ZFinger 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 0RPU45Z
Is 0RPU45Z a valid ICD-10-PCS code for 2027?
- Yes. 0RPU45Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RPU45Z an O.R. procedure?
- Yes. 0RPU45Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RPU45Z group to?
- Depending on the principal diagnosis, 0RPU45Z can group to MS-DRG 506 and MS-DRG 906.
What is the ICD-9 procedure code for 0RPU45Z?
- The CMS GEMs map 0RPU45Z to ICD-9-CM 80.14 (Other arthrotomy, hand and finger).