ICD-9-CM procedure code (retired)
78.54 — Internal fixation of bone without fracture reduction, carpals and metacarpals
About ICD-9-CM 78.54
78.54 is an ICD-9-CM procedure code for internal fixation of bone without fracture reduction, carpals and metacarpals. ICD-9-CM was retired for U.S. claims on October 1, 2015, when ICD-10-PCS took over.
The CMS General Equivalence Mappings translate it to 12 ICD-10-PCS codes, such as 0PHM04Z (Insertion of Internal Fixation Device into Right Carpal, Open Approach), 0PHM34Z (Insertion of Internal Fixation Device into Right Carpal, Percutaneous Approach) and 0PHM44Z (Insertion of Internal Fixation Device into Right Carpal, Percutaneous Endoscopic Approach). All of these are approximate matches, so review the record to pick the right one.
ICD-10-PCS equivalents
- 0PHM04ZInsertion of Internal Fixation Device into Right Carpal, Open Approachapproximate
- 0PHM34ZInsertion of Internal Fixation Device into Right Carpal, Percutaneous Approachapproximate
- 0PHM44ZInsertion of Internal Fixation Device into Right Carpal, Percutaneous Endoscopic Approachapproximate
- 0PHN04ZInsertion of Internal Fixation Device into Left Carpal, Open Approachapproximate
- 0PHN34ZInsertion of Internal Fixation Device into Left Carpal, Percutaneous Approachapproximate
- 0PHN44ZInsertion of Internal Fixation Device into Left Carpal, Percutaneous Endoscopic Approachapproximate
- 0PHP04ZInsertion of Internal Fixation Device into Right Metacarpal, Open Approachapproximate
- 0PHP34ZInsertion of Internal Fixation Device into Right Metacarpal, Percutaneous Approachapproximate
- 0PHP44ZInsertion of Internal Fixation Device into Right Metacarpal, Percutaneous Endoscopic Approachapproximate
- 0PHQ04ZInsertion of Internal Fixation Device into Left Metacarpal, Open Approachapproximate
- 0PHQ34ZInsertion of Internal Fixation Device into Left Metacarpal, Percutaneous Approachapproximate
- 0PHQ44ZInsertion of Internal Fixation Device into Left Metacarpal, Percutaneous Endoscopic Approachapproximate
Common questions about 78.54
What is the ICD-10 code for ICD-9 78.54?
- The GEMs map 78.54 to ICD-10-PCS 0PHM04Z, 0PHM34Z, 0PHM44Z, 0PHN04Z, 0PHN34Z, 0PHN44Z and 6 more.
GEMs are a translation aid, not a substitute for coding from the record. The 2027 ICD-10 code set has changed since the last GEMs release in 2018. Page updated September 29, 2026.