ICD-10-PCS 2027 procedure code
0RSSX4ZReposition Right Carpometacarpal Joint with Internal Fixation Device, External Approach
Short description: Reposition R Carpometacarp Jt with Int Fix, Extern 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 0RSSX4Z
0RSSX4Z is the ICD-10-PCS code for a reposition procedure on the right carpometacarpal joint using an external approach with internal fixation device. In ICD-10-PCS, reposition means moving to its normal location, or other suitable location, all or a portion of a body part.
In plain terms, this corresponds to closed reduction of dislocation of hand and finger, the ICD-9-CM procedure title it maps to (79.74).
For a different body part, codes include 0RS0X4Z (occipital-cervical joint), 0RS1X4Z (cervical vertebral joint), 0RS4X4Z (cervicothoracic vertebral joint), 0RS6X4Z (thoracic vertebral joint), 0RSAX4Z (thoracolumbar vertebral joint), 0RSCX4Z (right temporomandibular joint) and 18 more.
The same procedure with a different approach is coded 0RSS04Z (open), 0RSS34Z (percutaneous) and 0RSS44Z (percutaneous endoscopic).
With a different device, use 0RSSX5Z (external fixation device) and 0RSSXZZ (no device).
It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.
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
- SReposition
Moving to its normal location, or other suitable location, all or a portion of a body part
The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning correctly. The body part may or may not be cut out or off to be moved to the new location
Includes: Reposition of undescended testicle, fracture reduction
- 4. Body Part
- SCarpometacarpal Joint, Right
- 5. Approach
- XExternal
Procedures performed directly on the skin or mucous membrane and procedures performed indirectly by the application of external force through the skin or mucous membrane
- 6. Device
- 4Internal Fixation Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0RS0X4ZOccipital-cervical Joint
- 0RS1X4ZCervical Vertebral Joint
- 0RS4X4ZCervicothoracic Vertebral Joint
- 0RS6X4ZThoracic Vertebral Joint
- 0RSAX4ZThoracolumbar Vertebral Joint
- 0RSCX4ZTemporomandibular Joint, Right
- 0RSDX4ZTemporomandibular Joint, Left
- 0RSEX4ZSternoclavicular Joint, Right
- 0RSFX4ZSternoclavicular Joint, Left
- 0RSGX4ZAcromioclavicular Joint, Right
- 0RSHX4ZAcromioclavicular Joint, Left
- 0RSJX4ZShoulder Joint, Right
Different approach
Different device
ICD-9-CM equivalent
Converter →- 79.74Closed reduction of dislocation of 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)
- FY2018 (effective 10/1/2017): Title revised — was “Reposition Right Metacarpocarpal Joint with Internal Fixation Device, External Approach”
Common questions about 0RSSX4Z
Is 0RSSX4Z a valid ICD-10-PCS code for 2027?
- Yes. 0RSSX4Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
What is the ICD-9 procedure code for 0RSSX4Z?
- The CMS GEMs map 0RSSX4Z to ICD-9-CM 79.74 (Closed reduction of dislocation of hand and finger).