0PSM04Z ICD-10-PCS Code: Reposition Right Carpal with Internal Fixation Device, Open Approach
Reposition Right Carpal with Int Fix, Open 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 SystemP | Upper Bones |
| 3 | Root OperationS | Reposition Moving to its normal location, or other suitable location, all or a portion of a body part |
| 4 | Body PartM | Carpal, Right |
| 5 | Approach0 | Open |
| 6 | Device4 | Internal Fixation Device |
| 7 | QualifierZ | No Qualifier |
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.
0PSH04Z — Reposition Right Radius with Internal Fixation Device, Open Approach, 0PSJ04Z — Reposition Left Radius with Internal Fixation Device, Open Approach, 0PSK04Z — Reposition Right Ulna with Internal Fixation Device, Open Approach, 0PSL04Z — Reposition Left Ulna with Internal Fixation Device, Open Approach, 0PSN04Z — Reposition Left Carpal with Internal Fixation Device, Open Approach, 0PSP04Z — Reposition Right Metacarpal with Internal Fixation Device, Open Approach, 0PSQ04Z — Reposition Left Metacarpal with Internal Fixation Device, Open Approach, 0PSR04Z — Reposition Right Thumb Phalanx with Internal Fixation Device, Open Approach, +18 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
0PSM34Z — Reposition Right Carpal with Internal Fixation Device, Percutaneous Approach, 0PSM44Z — Reposition Right Carpal with Internal Fixation Device, Percutaneous Endoscopic Approach
Same operation — other Device
Same table and root operation, differing only in the device character.
0PSM05Z — Reposition Right Carpal with External Fixation Device, Open Approach, 0PSM0ZZ — Reposition Right Carpal, Open Approach
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Fixation of upper extremity bones (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.
0PPTX4Z — Removal of Internal Fixation Device from Right Finger Phalanx, External Approach, 0PPTX5Z — Removal of External Fixation Device from Right Finger Phalanx, External Approach, 0PPV04Z — Removal of Internal Fixation Device from Left Finger Phalanx, Open Approach, 0PPV05Z — Removal of External Fixation Device from Left Finger Phalanx, Open Approach, 0PPV34Z — Removal of Internal Fixation Device from Left Finger Phalanx, Percutaneous Approach, 0PPV35Z — Removal of External Fixation Device from Left Finger Phalanx, Percutaneous Approach, 0PPV44Z — Removal of Internal Fixation Device from Left Finger Phalanx, Percutaneous Endoscopic Approach, 0PPV45Z — Removal of External Fixation Device from Left Finger Phalanx, Percutaneous Endoscopic Approach, 0PPVX4Z — Removal of Internal Fixation Device from Left Finger Phalanx, External Approach, 0PPVX5Z — Removal of External Fixation Device from Left Finger Phalanx, External Approach, 0PW504Z — Revision of Internal Fixation Device in Right Scapula, Open Approach, 0PW534Z — Revision of Internal Fixation Device in Right Scapula, Percutaneous Approach, 0PW544Z — Revision of Internal Fixation Device in Right Scapula, Percutaneous Endoscopic Approach, 0PW5X4Z — Revision of Internal Fixation Device in Right Scapula, External Approach, 0PW604Z — Revision of Internal Fixation Device in Left Scapula, Open Approach, 0PW634Z — Revision of Internal Fixation Device in Left Scapula, Percutaneous Approach, 0PW644Z — Revision of Internal Fixation Device in Left Scapula, Percutaneous Endoscopic Approach, 0PW6X4Z — Revision of Internal Fixation Device in Left Scapula, External Approach, 0PW704Z — Revision of Internal Fixation Device in Right Glenoid Cavity, Open Approach, 0PW734Z — Revision of Internal Fixation Device in Right Glenoid Cavity, Percutaneous Approach, +506 more
Contextual Map
Every relationship of 0PSM04Z 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
- 0PS[PCS table]
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”
- Upper Bones — Body System: Upper Bones[Body System]: “Upper Bones”
- Reposition — Operation: Reposition[Operation]: “Reposition”
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)”
- 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)”
- 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)”
Clinical classification (CCSR)
- MST009 — Fixation of upper extremity bones[CCSR category]: “Fixation of upper extremity bones — Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures”
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.”
- 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.”
- A02.23 — Salmonella arthritis[Same-MDC diagnosis]: “Salmonella arthritis — grouped in MDC 08, the diagnosis side of this code's crossing.” · Check 0PSM04Z + A02.23 together
- A02.24 — Salmonella osteomyelitis[Same-MDC diagnosis]: “Salmonella osteomyelitis — grouped in MDC 08, the diagnosis side of this code's crossing.” · Check 0PSM04Z + A02.24 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 0PSM04Z + A18.01 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 0PSM04Z + A18.02 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 0PSM04Z + A18.03 together
- and 40458 more
Nearest codes
- 0PS004Z — Reposition Sternum with Internal Fixation Device, Open Approach[One axis away]
- 0PS104Z — Reposition 1 to 2 Ribs with Internal Fixation Device, Open Approach[One axis away]
- 0PS204Z — Reposition 3 or More Ribs with Internal Fixation Device, Open Approach[One axis away]
- 0PS304Z — Reposition Cervical Vertebra with Internal Fixation Device, Open Approach[One axis away]
- 0PS404Z — Reposition Thoracic Vertebra with Internal Fixation Device, Open Approach[One axis away]
- 0PS504Z — Reposition Right Scapula with Internal Fixation Device, Open Approach[One axis away]
- 0PS604Z — Reposition Left Scapula with Internal Fixation Device, Open Approach[One axis away]
- 0PS704Z — Reposition Right Glenoid Cavity with Internal Fixation Device, Open 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.