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ICD-10-PCS 2027 procedure code

0RUP47ZSupplement Left Wrist Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Supplement L Wrist Jt with Autol Sub, 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 0RUP47Z

0RUP47Z is the ICD-10-PCS code for a supplement procedure on the left wrist joint using a percutaneous endoscopic approach with autologous tissue substitute. In ICD-10-PCS, supplement means putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part.

In plain terms, this corresponds to other repair of hand, fingers, and wrist, the ICD-9-CM procedure title it maps to (81.79).

For a different body part, codes include 0RU047Z (occipital-cervical joint), 0RU147Z (cervical vertebral joint), 0RU347Z (cervical vertebral disc), 0RU447Z (cervicothoracic vertebral joint), 0RU547Z (cervicothoracic vertebral disc), 0RU647Z (thoracic vertebral joint) and 22 more.

The same procedure with a different approach is coded 0RUP07Z (open) and 0RUP37Z (percutaneous).

With a different device, use 0RUP4JZ (synthetic substitute) and 0RUP4KZ (nonautologous tissue substitute).

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
USupplement

Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part

The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced, and the Supplement procedure is performed to physically reinforce and/or augment the function of the replaced body part

Includes: Herniorrhaphy using mesh, mitral valve ring annuloplasty, put a new acetabular liner in a previous hip replacement

4. Body Part
PWrist Joint, Left

Includes: Distal radioulnar joint; Radiocarpal joint

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
7Autologous Tissue Substitute

Includes: Autograft; Cultured epidermal cell autograft; Epicel(R) cultured epidermal autograft

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 Thumb or Joint Procedures

MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Hand Procedures for Injuries

ICD-9-CM equivalent

Converter →
  • 81.79Other repair of hand, fingers, and wristapproximate

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 0RUP47Z

Is 0RUP47Z a valid ICD-10-PCS code for 2027?

Yes. 0RUP47Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RUP47Z an O.R. procedure?

Yes. 0RUP47Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RUP47Z group to?

Depending on the principal diagnosis, 0RUP47Z 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 0RUP47Z?

The CMS GEMs map 0RUP47Z to ICD-9-CM 81.79 (Other repair of hand, fingers, and wrist).