0KXD4Z0 ICD-10-PCS Code: Transfer Left Hand Muscle with Skin, Percutaneous Endoscopic Approach
Transfer Left Hand Muscle with Skin, Perc Endo Approach
Axis Breakdown
Every ICD-10-PCS code is exactly seven characters, one per axis. Each character's meaning is defined by its position in the code.
| Position | Value | Meaning |
|---|---|---|
| 1 | Section0 | Medical and Surgical |
| 2 | Body SystemK | Muscles |
| 3 | Root OperationX | Transfer Moving, without taking out, all or a portion of a body part to another location to take over the function of all or a portion of a body part |
| 4 | Body PartD | Hand Muscle, Left |
| 5 | Approach4 | Percutaneous Endoscopic |
| 6 | DeviceZ | No Device |
| 7 | Qualifier0 | Skin |
MS-DRG Grouper Relationships (FY2026)
Potential MS-DRG participation — not a DRG assignment.
The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 9 MS-DRGs:
- MDC 01 — Peripheral, Cranial Nerve and Other Nervous System Procedures: DRG 040, DRG 041, DRG 042
- MDC 08 — Hand or Wrist Procedures, Except Major Thumb or Joint Procedures: DRG 513, DRG 514
- MDC 21 — Hand Procedures for Injuries: DRG 906
- MDC 24 — Other O.R. Procedures for Multiple Significant Trauma: DRG 957, DRG 958, DRG 959
From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.
Related Codes
Same operation — other Body Part
Same table and root operation, differing only in the body part character.
0KX84Z0 — Transfer Left Upper Arm Muscle with Skin, Percutaneous Endoscopic Approach, 0KX94Z0 — Transfer Right Lower Arm and Wrist Muscle with Skin, Percutaneous Endoscopic Approach, 0KXB4Z0 — Transfer Left Lower Arm and Wrist Muscle with Skin, Percutaneous Endoscopic Approach, 0KXC4Z0 — Transfer Right Hand Muscle with Skin, Percutaneous Endoscopic Approach, 0KXF4Z0 — Transfer Right Trunk Muscle with Skin, Percutaneous Endoscopic Approach, 0KXG4Z0 — Transfer Left Trunk Muscle with Skin, Percutaneous Endoscopic Approach, 0KXH4Z0 — Transfer Right Thorax Muscle with Skin, Percutaneous Endoscopic Approach, 0KXJ4Z0 — Transfer Left Thorax Muscle with Skin, Percutaneous Endoscopic Approach, +19 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
0KXD0Z0 — Transfer Left Hand Muscle with Skin, Open Approach
Same operation — other Qualifier
Same table and root operation, differing only in the qualifier character.
0KXD4Z1 — Transfer Left Hand Muscle with Subcutaneous Tissue, Percutaneous Endoscopic Approach, 0KXD4Z2 — Transfer Left Hand Muscle with Skin and Subcutaneous Tissue, Percutaneous Endoscopic Approach, 0KXD4ZZ — Transfer Left Hand Muscle, Percutaneous Endoscopic Approach
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Musculoskeletal procedures, NEC (Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures); listed here are the members in other PCS tables. Source: Clinical Classifications Software Refined (CCSR), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, November 2025.
+3173 more
Contextual Map
Every relationship of 0KXD4Z0 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
PCS table
- 0KX[PCS table]
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”
- Muscles — Body System: Muscles[Body System]: “Muscles”
- Transfer — Operation: Transfer[Operation]: “Transfer”
MS-DRG participation (9)
- DRG 040 — PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC[MS-DRG]: “PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC — Peripheral, Cranial Nerve and Other Nervous System Procedures (MDC 01)”
- DRG 041 — PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR[MS-DRG]: “PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR — Peripheral, Cranial Nerve and Other Nervous System Procedures (MDC 01)”
- DRG 042 — PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC[MS-DRG]: “PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC — Peripheral, Cranial Nerve and Other Nervous System Procedures (MDC 01)”
- DRG 513 — HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC[MS-DRG]: “HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC — Hand or Wrist Procedures, Except Major Thumb or Joint Procedures (MDC 08)”
- DRG 514 — HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC[MS-DRG]: “HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC — Hand or Wrist Procedures, Except Major Thumb or Joint Procedures (MDC 08)”
- DRG 906 — HAND PROCEDURES FOR INJURIES[MS-DRG]: “HAND PROCEDURES FOR INJURIES — Hand Procedures for Injuries (MDC 21)”
- DRG 957 — OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC[MS-DRG]: “OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC — Other O.R. Procedures for Multiple Significant Trauma (MDC 24)”
- DRG 958 — OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC[MS-DRG]: “OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC — Other O.R. Procedures for Multiple Significant Trauma (MDC 24)”
- and 1 more
Clinical classification (CCSR)
- MST030 — Musculoskeletal procedures, NEC[CCSR category]: “Musculoskeletal procedures, NEC — Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures”
MDC crossing · diagnoses (43099)
- MDC 01 — Diseases and Disorders of the Nervous System[MDC crossing]: “Diseases and Disorders of the Nervous System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
- MDC 08 — Diseases and Disorders of the Musculoskeletal System and Connective Tissue[MDC crossing]: “Diseases and Disorders of the Musculoskeletal System and Connective Tissue — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
- A02.21 — Salmonella meningitis[Same-MDC diagnosis]: “Salmonella meningitis — grouped in MDC 01, the diagnosis side of this code's crossing.” · Check 0KXD4Z0 + A02.21 together
- A06.6 — Amebic brain abscess[Same-MDC diagnosis]: “Amebic brain abscess — grouped in MDC 01, the diagnosis side of this code's crossing.” · Check 0KXD4Z0 + A06.6 together
- A17.0 — Tuberculous meningitis[Same-MDC diagnosis]: “Tuberculous meningitis — grouped in MDC 01, the diagnosis side of this code's crossing.” · Check 0KXD4Z0 + A17.0 together
- A17.1 — Meningeal tuberculoma[Same-MDC diagnosis]: “Meningeal tuberculoma — grouped in MDC 01, the diagnosis side of this code's crossing.” · Check 0KXD4Z0 + A17.1 together
- A17.81 — Tuberculoma of brain and spinal cord[Same-MDC diagnosis]: “Tuberculoma of brain and spinal cord — grouped in MDC 01, the diagnosis side of this code's crossing.” · Check 0KXD4Z0 + A17.81 together
- and 43094 more
Nearest codes
- 0KX04Z0 — Transfer Head Muscle with Skin, Percutaneous Endoscopic Approach[One axis away]
- 0KX14Z0 — Transfer Facial Muscle with Skin, Percutaneous Endoscopic Approach[One axis away]
- 0KX24Z0 — Transfer Right Neck Muscle with Skin, Percutaneous Endoscopic Approach[One axis away]
- 0KX34Z0 — Transfer Left Neck Muscle with Skin, Percutaneous Endoscopic Approach[One axis away]
- 0KX44Z0 — Transfer Tongue, Palate, Pharynx Muscle with Skin, Percutaneous Endoscopic Approach[One axis away]
- 0KX54Z0 — Transfer Right Shoulder Muscle with Skin, Percutaneous Endoscopic Approach[One axis away]
- 0KX64Z0 — Transfer Left Shoulder Muscle with Skin, Percutaneous Endoscopic Approach[One axis away]
- 0KX74Z0 — Transfer Right Upper Arm Muscle with Skin, Percutaneous Endoscopic Approach[One axis away]
Change history
No changes recorded for this code. This ledger tracks additions, deletions and description changes from FY2026 (April) onward. Note changes are not tracked.