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ICD-10-PCS 2027 procedure code

0RQL4ZZRepair Right Elbow Joint, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

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 0RQL4ZZ

0RQL4ZZ is the ICD-10-PCS code for a repair procedure on the right elbow 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 other repair of elbow, the ICD-9-CM procedure title it maps to (81.85).

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 0RQL0ZZ (open), 0RQL3ZZ (percutaneous) and 0RQLXZZ (external).

It is an operating-room procedure in the MS-DRG logic for DRG 507 (Major Shoulder or Elbow Joint Procedures with CC/MCC), DRG 508 (Major Shoulder or Elbow Joint Procedures without CC/MCC), DRG 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC), DRG 909 (Other O.R. Procedures for Injuries without CC/MCC) and DRG 957 (Other O.R. Procedures for Multiple Significant Trauma with MCC), under the surgical categories “Major Shoulder or Elbow Joint Procedures”, “Other O.R. Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.

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
LElbow 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
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.

MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Major Shoulder or Elbow Joint Procedures

ICD-9-CM equivalent

Converter →
  • 81.85Other repair of elbowapproximate

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 0RQL4ZZ

Is 0RQL4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0RQL4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RQL4ZZ an O.R. procedure?

Yes. 0RQL4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RQL4ZZ group to?

Depending on the principal diagnosis, 0RQL4ZZ can group to MS-DRG 507, MS-DRG 508, MS-DRG 907, MS-DRG 908, MS-DRG 909 and MS-DRG 957.

What is the ICD-9 procedure code for 0RQL4ZZ?

The CMS GEMs map 0RQL4ZZ to ICD-9-CM 81.85 (Other repair of elbow).