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Inpatient Procedure Code

0M564ZZ

Destruction of Left Wrist Bursa and Ligament, Percutaneous Endoscopic Approach

Destruction of L Wrist Bursa/Lig, 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.

PositionValueMeaning
1
Section0

Medical and Surgical

2
Body SystemM

Bursae and Ligaments

3
Root Operation5

Destruction

Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent

4
Body Part6

Wrist Bursa and Ligament, 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 08 — Hand or Wrist Procedures, Except Major Thumb or Joint Procedures: DRG 513, DRG 514
  • MDC 09 — Other Skin, Subcutaneous Tissue and Breast Procedures: DRG 579, DRG 580, DRG 581
  • 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.

Contextual Map

Every relationship of 0M564ZZ 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

  • 0M5[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 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 579 — OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC [MS-DRG]: “OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC — Other Skin, Subcutaneous Tissue and Breast Procedures (MDC 09)”
  • DRG 580 — OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC [MS-DRG]: “OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC — Other Skin, Subcutaneous Tissue and Breast Procedures (MDC 09)”
  • DRG 581 — OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC [MS-DRG]: “OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC — Other Skin, Subcutaneous Tissue and Breast Procedures (MDC 09)”
  • 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 (45904)

  • 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.”
  • MDC 09 — Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast [MDC crossing]: “Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast — 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.”
  • A02.23 — Salmonella arthritis [Same-MDC diagnosis]: “Salmonella arthritis — grouped in MDC 08, the diagnosis side of this code's crossing.” · check together
  • A02.24 — Salmonella osteomyelitis [Same-MDC diagnosis]: “Salmonella osteomyelitis — grouped in MDC 08, the diagnosis side of this code's crossing.” · check together
  • A18.01 — Tuberculosis of spine [Same-MDC diagnosis]: “Tuberculosis of spine — grouped in MDC 08, the diagnosis side of this code's crossing.” · check together
  • A18.02 — Tuberculous arthritis of other joints [Same-MDC diagnosis]: “Tuberculous arthritis of other joints — grouped in MDC 08, the diagnosis side of this code's crossing.” · check together
  • A18.03 — Tuberculosis of other bones [Same-MDC diagnosis]: “Tuberculosis of other bones — grouped in MDC 08, the diagnosis side of this code's crossing.” · check together
  • and 45899 more

Nearest codes

  • 0M504ZZ — Destruction of Head and Neck Bursa and Ligament, Percutaneous Endoscopic Approach [One axis away]
  • 0M514ZZ — Destruction of Right Shoulder Bursa and Ligament, Percutaneous Endoscopic Approach [One axis away]
  • 0M524ZZ — Destruction of Left Shoulder Bursa and Ligament, Percutaneous Endoscopic Approach [One axis away]
  • 0M534ZZ — Destruction of Right Elbow Bursa and Ligament, Percutaneous Endoscopic Approach [One axis away]
  • 0M544ZZ — Destruction of Left Elbow Bursa and Ligament, Percutaneous Endoscopic Approach [One axis away]
  • 0M554ZZ — Destruction of Right Wrist Bursa and Ligament, Percutaneous Endoscopic Approach [One axis away]
  • 0M560ZZ — Destruction of Left Wrist Bursa and Ligament, Open Approach [One axis away]
  • 0M563ZZ — Destruction of Left Wrist Bursa and Ligament, Percutaneous Approach [One axis away]

Change history

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