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ICD-10-PCS 2027 procedure code

0RUT4KZSupplement Left Carpometacarpal Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Supplement L Carpometacarp Jt w Nonaut Sub, Perc Endo

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 0RUT4KZ

0RUT4KZ is the ICD-10-PCS code for a supplement procedure on the left carpometacarpal joint using a percutaneous endoscopic approach with nonautologous 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 arthroplasty of carpocarpal or carpometacarpal joint with implant, the ICD-9-CM procedure title it maps to (81.74).

For a different body part, codes include 0RU04KZ (occipital-cervical joint), 0RU14KZ (cervical vertebral joint), 0RU34KZ (cervical vertebral disc), 0RU44KZ (cervicothoracic vertebral joint), 0RU54KZ (cervicothoracic vertebral disc), 0RU64KZ (thoracic vertebral joint) and 22 more.

The same procedure with a different approach is coded 0RUT0KZ (open) and 0RUT3KZ (percutaneous).

With a different device, use 0RUT47Z (autologous tissue substitute) and 0RUT4JZ (synthetic 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
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
KNonautologous Tissue Substitute

Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft

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 →
  • 81.74Arthroplasty of carpocarpal or carpometacarpal joint with implantapproximate

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 “Supplement Left Metacarpocarpal Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach”

Common questions about 0RUT4KZ

Is 0RUT4KZ a valid ICD-10-PCS code for 2027?

Yes. 0RUT4KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RUT4KZ an O.R. procedure?

Yes. 0RUT4KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RUT4KZ group to?

Depending on the principal diagnosis, 0RUT4KZ 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 0RUT4KZ?

The CMS GEMs map 0RUT4KZ to ICD-9-CM 81.74 (Arthroplasty of carpocarpal or carpometacarpal joint with implant).