0P5Q3ZZ ICD-10-PCS Code: Destruction of Left Metacarpal, Percutaneous Approach

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 6 MS-DRGs:

• 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.

0P5L3ZZ — Destruction of Left Ulna, Percutaneous Approach, 0P5M3ZZ — Destruction of Right Carpal, Percutaneous Approach, 0P5N3ZZ — Destruction of Left Carpal, Percutaneous Approach, 0P5P3ZZ — Destruction of Right Metacarpal, Percutaneous Approach, 0P5R3ZZ — Destruction of Right Thumb Phalanx, Percutaneous Approach, 0P5S3ZZ — Destruction of Left Thumb Phalanx, Percutaneous Approach, 0P5T3ZZ — Destruction of Right Finger Phalanx, Percutaneous Approach, 0P5V3ZZ — Destruction of Left Finger Phalanx, Percutaneous Approach, +18 more

Same operation — other Approach

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

0P5Q0ZZ — Destruction of Left Metacarpal, Open Approach, 0P5Q4ZZ — Destruction of Left Metacarpal, 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 Bone excision (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.

0NTK0ZZ — Resection of Right Palatine Bone, Open Approach, 0NTL0ZZ — Resection of Left Palatine Bone, Open Approach, 0NTM0ZZ — Resection of Right Zygomatic Bone, Open Approach, 0NTN0ZZ — Resection of Left Zygomatic Bone, Open Approach, 0NTP0ZZ — Resection of Right Orbit, Open Approach, 0NTQ0ZZ — Resection of Left Orbit, Open Approach, 0NTR0ZZ — Resection of Maxilla, Open Approach, 0NTT0ZZ — Resection of Right Mandible, Open Approach, 0NTV0ZZ — Resection of Left Mandible, Open Approach, 0NTX0ZZ — Resection of Hyoid Bone, Open Approach, 0PB00ZZ — Excision of Sternum, Open Approach, 0PB03ZZ — Excision of Sternum, Percutaneous Approach, 0PB04ZZ — Excision of Sternum, Percutaneous Endoscopic Approach, 0PB10ZZ — Excision of 1 to 2 Ribs, Open Approach, 0PB13ZZ — Excision of 1 to 2 Ribs, Percutaneous Approach, 0PB14ZZ — Excision of 1 to 2 Ribs, Percutaneous Endoscopic Approach, 0PB20ZZ — Excision of 3 or More Ribs, Open Approach, 0PB23ZZ — Excision of 3 or More Ribs, Percutaneous Approach, 0PB24ZZ — Excision of 3 or More Ribs, Percutaneous Endoscopic Approach, 0PB30ZZ — Excision of Cervical Vertebra, Open Approach, +506 more

Contextual Map

Every relationship of 0P5Q3ZZ 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.

Run 0P5Q3ZZ with these 5 related codes in Claim Check

PCS table

• 0P5[PCS table]— CMS ICD-10-PCS tables
• Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
• Upper Bones — Body System: Upper Bones[Body System]: “Upper Bones”— CMS ICD-10-PCS tables
• Destruction — Operation: Destruction[Operation]: “Destruction”— CMS ICD-10-PCS tables

MS-DRG participation

• 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)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• 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)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 906 — HAND PROCEDURES FOR INJURIES[MS-DRG]: “HAND PROCEDURES FOR INJURIES — Hand Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• 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)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• 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)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 959 — OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC[MS-DRG]: “OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC — Other O.R. Procedures for Multiple Significant Trauma (MDC 24)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026

Clinical classification (CCSR)

• MST018 — Bone excision[CCSR category]: “Bone excision — Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1

MDC crossing · diagnoses (40463)

• 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.”— CMS MS-DRG Definitions Manual · FY2026
• MDC 21 — Injuries, Poisonings and Toxic Effects of Drugs[MDC crossing]: “Injuries, Poisonings and Toxic Effects of Drugs — 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.”— CMS MS-DRG Definitions Manual · FY2026
• A02.23 — Salmonella arthritis[Same-MDC diagnosis]: “Salmonella arthritis — grouped in MDC 08, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• A02.24 — Salmonella osteomyelitis[Same-MDC diagnosis]: “Salmonella osteomyelitis — grouped in MDC 08, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• A18.01 — Tuberculosis of spine[Same-MDC diagnosis]: “Tuberculosis of spine — grouped in MDC 08, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• 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.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• 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.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• and 40458 more

Nearest codes

• 0P503ZZ — Destruction of Sternum, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
• 0P513ZZ — Destruction of 1 to 2 Ribs, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
• 0P523ZZ — Destruction of 3 or More Ribs, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
• 0P533ZZ — Destruction of Cervical Vertebra, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
• 0P543ZZ — Destruction of Thoracic Vertebra, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
• 0P553ZZ — Destruction of Right Scapula, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
• 0P563ZZ — Destruction of Left Scapula, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
• 0P573ZZ — Destruction of Right Glenoid Cavity, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables