ICD-10-PCS 2027 procedure code
0RQS4ZZRepair Right Carpometacarpal Joint, Percutaneous Endoscopic Approach
Short description: Repair Right Carpometacarpal Joint, Perc Endo Approach
Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data
About 0RQS4ZZ
0RQS4ZZ is the ICD-10-PCS code for a repair procedure on the right carpometacarpal 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 arthroplasty of carpocarpal or carpometacarpal joint without implant, the ICD-9-CM procedure title it maps to (81.75).
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 0RQS0ZZ (open), 0RQS3ZZ (percutaneous) and 0RQSXZZ (external).
It is an operating-room procedure in the MS-DRG logic for DRG 040 (Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC), DRG 041 (Peripheral, Cranial Nerve and Other Nervous System Procedures with CC or Peripheral Neurostimulator), DRG 042 (Peripheral, Cranial Nerve and Other Nervous System Procedures without CC/MCC), DRG 506 (Major Thumb or Joint Procedures), DRG 906 (Hand Procedures for Injuries) and DRG 957 (Other O.R. Procedures for Multiple Significant Trauma with MCC), under the surgical categories “Peripheral, Cranial Nerve and Other Nervous System Procedures”, “Major Thumb or Joint Procedures”, “Hand 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
- SCarpometacarpal 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
Different body part
- 0RQ04ZZOccipital-cervical Joint
- 0RQ14ZZCervical Vertebral Joint
- 0RQ34ZZCervical Vertebral Disc
- 0RQ44ZZCervicothoracic Vertebral Joint
- 0RQ54ZZCervicothoracic Vertebral Disc
- 0RQ64ZZThoracic Vertebral Joint
- 0RQ94ZZThoracic Vertebral Disc
- 0RQA4ZZThoracolumbar Vertebral Joint
- 0RQB4ZZThoracolumbar Vertebral Disc
- 0RQC4ZZTemporomandibular Joint, Right
- 0RQD4ZZTemporomandibular Joint, Left
- 0RQE4ZZSternoclavicular Joint, Right
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 01 · Diseases and Disorders of the Nervous System · Peripheral, Cranial Nerve and Other Nervous System Procedures
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
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →- 81.75Arthroplasty of carpocarpal or carpometacarpal joint without implantapproximate
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)
- FY2018 (effective 10/1/2017): Title revised — was “Repair Right Metacarpocarpal Joint, Percutaneous Endoscopic Approach”
Common questions about 0RQS4ZZ
Is 0RQS4ZZ a valid ICD-10-PCS code for 2027?
- Yes. 0RQS4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RQS4ZZ an O.R. procedure?
- Yes. 0RQS4ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RQS4ZZ group to?
- Depending on the principal diagnosis, 0RQS4ZZ can group to MS-DRG 040, MS-DRG 041, MS-DRG 042, MS-DRG 506, MS-DRG 906 and MS-DRG 957.
What is the ICD-9 procedure code for 0RQS4ZZ?
- The CMS GEMs map 0RQS4ZZ to ICD-9-CM 81.75 (Arthroplasty of carpocarpal or carpometacarpal joint without implant).