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ICD-10-PCS 2027 procedure code

0RQD4ZZRepair Left Temporomandibular Joint, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Repair Left Temporomandibular Joint, 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 0RQD4ZZ

0RQD4ZZ is the ICD-10-PCS code for a repair procedure on the left temporomandibular joint using a percutaneous endoscopic approach. In ICD-10-PCS, repair means restoring, to the extent possible, a body part to its normal anatomic structure and function.

In plain terms, this corresponds to temporomandibular arthroplasty, the ICD-9-CM procedure title it maps to (76.5).

For a different body part, codes include 0RQ04ZZ (occipital-cervical joint), 0RQ14ZZ (cervical vertebral joint), 0RQ34ZZ (cervical vertebral disc), 0RQ44ZZ (cervicothoracic vertebral joint), 0RQ54ZZ (cervicothoracic vertebral disc), 0RQ64ZZ (thoracic vertebral joint) and 22 more.

The same procedure with a different approach is coded 0RQD0ZZ (open), 0RQD3ZZ (percutaneous) and 0RQDXZZ (external).

It is an operating-room procedure in the MS-DRG logic for DRG 143 (Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC), DRG 144 (Other Ear, Nose, Mouth and Throat O.R. Procedures with CC), DRG 145 (Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC), DRG 515 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC), DRG 516 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC) and DRG 517 (Other Musculoskeletal System and Connective Tissue O.R. Procedures without CC/MCC), under the surgical categories “Other Ear, Nose, Mouth and Throat O.R. Procedures”, “Other Musculoskeletal System and Connective Tissue O.R. Procedures”, “Other O.R. Procedures for Injuries” and 1 more.

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
QRepair

Restoring, to the extent possible, a body part to its normal anatomic structure and function

Used only when the method to accomplish the repair is not one of the other root operations

Includes: Colostomy takedown, suture of laceration

4. Body Part
DTemporomandibular Joint, Left
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
ZNo 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.

ICD-9-CM equivalent

Converter →
  • 76.5Temporomandibular arthroplastyapproximate

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 0RQD4ZZ

Is 0RQD4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0RQD4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RQD4ZZ an O.R. procedure?

Yes. 0RQD4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RQD4ZZ group to?

Depending on the principal diagnosis, 0RQD4ZZ can group to MS-DRG 143, MS-DRG 144, MS-DRG 145, MS-DRG 515, MS-DRG 516 and MS-DRG 517.

What is the ICD-9 procedure code for 0RQD4ZZ?

The CMS GEMs map 0RQD4ZZ to ICD-9-CM 76.5 (Temporomandibular arthroplasty).