ICD-10-PCS 2027 procedure code
0RWV05ZRevision of External Fixation Device in Left Metacarpophalangeal Joint, Open Approach
Short description: Revision of Ext Fix in L Metacarpophal Jt, Open 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 0RWV05Z
0RWV05Z is the ICD-10-PCS code for a revision procedure on the left metacarpophalangeal joint using an open approach with external fixation device. In ICD-10-PCS, revision means correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device.
In plain terms, this corresponds to other arthrotomy, hand and finger, the ICD-9-CM procedure title it maps to (80.14).
For a different body part, codes include 0RWL05Z (right elbow joint), 0RWM05Z (left elbow joint), 0RWN05Z (right wrist joint), 0RWP05Z (left wrist joint), 0RWQ05Z (right carpal joint), 0RWR05Z (left carpal joint) and 5 more.
The same procedure with a different approach is coded 0RWV35Z (percutaneous), 0RWV45Z (percutaneous endoscopic) and 0RWVX5Z (external).
With a different device, use 0RWV00Z (drainage device), 0RWV03Z (infusion device), 0RWV04Z (internal fixation device), 0RWV07Z (autologous tissue substitute), 0RWV08Z (spacer), 0RWV0JZ (synthetic substitute) and 1 more.
It is an operating-room procedure in the MS-DRG logic for DRG 506 (Major Thumb or Joint Procedures) and DRG 906 (Hand Procedures for Injuries), under the surgical categories “Major Thumb or Joint Procedures” and “Hand Procedures for Injuries”.
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
- WRevision
Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device
Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as a screw or pin
Includes: Adjustment of position of pacemaker lead, recementing of hip prosthesis
- 4. Body Part
- VMetacarpophalangeal Joint, Left
- 5. Approach
- 0Open
Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure
- 6. Device
- 5External Fixation Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0RWL05ZElbow Joint, Right
- 0RWM05ZElbow Joint, Left
- 0RWN05ZWrist Joint, Right
- 0RWP05ZWrist Joint, Left
- 0RWQ05ZCarpal Joint, Right
- 0RWR05ZCarpal Joint, Left
- 0RWS05ZCarpometacarpal Joint, Right
- 0RWT05ZCarpometacarpal Joint, Left
- 0RWU05ZMetacarpophalangeal Joint, Right
- 0RWW05ZFinger Phalangeal Joint, Right
- 0RWX05ZFinger Phalangeal Joint, Left
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 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 →- 80.14Other arthrotomy, 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)
- No changes since FY2016.
Common questions about 0RWV05Z
Is 0RWV05Z a valid ICD-10-PCS code for 2027?
- Yes. 0RWV05Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RWV05Z an O.R. procedure?
- Yes. 0RWV05Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RWV05Z group to?
- Depending on the principal diagnosis, 0RWV05Z can group to MS-DRG 506 and MS-DRG 906.
What is the ICD-9 procedure code for 0RWV05Z?
- The CMS GEMs map 0RWV05Z to ICD-9-CM 80.14 (Other arthrotomy, hand and finger).