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ICD-10-PCS 2027 procedure code

0RST4ZZReposition Left Carpometacarpal Joint, Percutaneous Endoscopic Approach

✓ Valid for 2027

Short description: Reposition Left 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 0RST4ZZ

0RST4ZZ is the ICD-10-PCS code for a reposition procedure on the left carpometacarpal joint using a percutaneous endoscopic approach. 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 0RS04ZZ (occipital-cervical joint), 0RS14ZZ (cervical vertebral joint), 0RS44ZZ (cervicothoracic vertebral joint), 0RS64ZZ (thoracic vertebral joint), 0RSA4ZZ (thoracolumbar vertebral joint), 0RSC4ZZ (right temporomandibular joint) and 18 more.

The same procedure with a different approach is coded 0RST0ZZ (open), 0RST3ZZ (percutaneous) and 0RSTXZZ (external).

With a different device, use 0RST44Z (internal fixation device) and 0RST45Z (external fixation 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
TCarpometacarpal 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

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

  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)
  • FY2018 (effective 10/1/2017): Title revised — was “Reposition Left Metacarpocarpal Joint, Percutaneous Endoscopic Approach”

Common questions about 0RST4ZZ

Is 0RST4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0RST4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 0RST4ZZ?

The CMS GEMs map 0RST4ZZ to ICD-9-CM 79.74 (Closed reduction of dislocation of hand and finger).