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Inpatient Procedure Code

0KXD4ZZ

Transfer Left Hand Muscle, Percutaneous Endoscopic 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.

PositionValueMeaning
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
QualifierZ

No Qualifier

Potential MS-DRG Relationships (FY2026)

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.

0KX84ZZ — Transfer Left Upper Arm Muscle, Percutaneous Endoscopic Approach, 0KX94ZZ — Transfer Right Lower Arm and Wrist Muscle, Percutaneous Endoscopic Approach, 0KXB4ZZ — Transfer Left Lower Arm and Wrist Muscle, Percutaneous Endoscopic Approach, 0KXC4ZZ — Transfer Right Hand Muscle, Percutaneous Endoscopic Approach, 0KXF4ZZ — Transfer Right Trunk Muscle, Percutaneous Endoscopic Approach, 0KXG4ZZ — Transfer Left Trunk Muscle, Percutaneous Endoscopic Approach, 0KXH4ZZ — Transfer Right Thorax Muscle, Percutaneous Endoscopic Approach, 0KXJ4ZZ — Transfer Left Thorax Muscle, Percutaneous Endoscopic Approach, +19 more

Same operation — other Approach

Same table and root operation, differing only in the approach character.

0KXD0ZZ — Transfer Left Hand Muscle, Open Approach

Same operation — other Qualifier

Same table and root operation, differing only in the qualifier character.

0KXD4Z0 — Transfer Left Hand Muscle with Skin, Percutaneous Endoscopic Approach, 0KXD4Z1 — Transfer Left Hand Muscle with Subcutaneous Tissue, Percutaneous Endoscopic Approach, 0KXD4Z2 — Transfer Left Hand Muscle with Skin and Subcutaneous Tissue, Percutaneous Endoscopic Approach

Contextual Map

Every relationship of 0KXD4ZZ 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]
  • [object Object] — Section: [object Object] [Section]: “[object Object]”
  • [object Object] — Body System: [object Object] [Body System]: “[object Object]”
  • [object Object] — Operation: [object Object] [Operation]: “[object Object]”

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

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 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 together
  • A17.0 — Tuberculous meningitis [Same-MDC diagnosis]: “Tuberculous meningitis — grouped in MDC 01, the diagnosis side of this code's crossing.” · check together
  • A17.1 — Meningeal tuberculoma [Same-MDC diagnosis]: “Meningeal tuberculoma — grouped in MDC 01, the diagnosis side of this code's crossing.” · check 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 together
  • and 43094 more

Nearest codes

  • 0KX04ZZ — Transfer Head Muscle, Percutaneous Endoscopic Approach [One axis away]
  • 0KX14ZZ — Transfer Facial Muscle, Percutaneous Endoscopic Approach [One axis away]
  • 0KX24ZZ — Transfer Right Neck Muscle, Percutaneous Endoscopic Approach [One axis away]
  • 0KX34ZZ — Transfer Left Neck Muscle, Percutaneous Endoscopic Approach [One axis away]
  • 0KX44ZZ — Transfer Tongue, Palate, Pharynx Muscle, Percutaneous Endoscopic Approach [One axis away]
  • 0KX54ZZ — Transfer Right Shoulder Muscle, Percutaneous Endoscopic Approach [One axis away]
  • 0KX64ZZ — Transfer Left Shoulder Muscle, Percutaneous Endoscopic Approach [One axis away]
  • 0KX74ZZ — Transfer Right Upper Arm Muscle, Percutaneous Endoscopic Approach [One axis away]

Change history

No changes recorded for this code — unchanged since the FY2026 (April) baseline of the change ledger.