0PTN0ZZ ICD-10-PCS Code: Resection of Left Carpal, Open 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.

0PTJ0ZZ — Resection of Left Radius, Open Approach, 0PTK0ZZ — Resection of Right Ulna, Open Approach, 0PTL0ZZ — Resection of Left Ulna, Open Approach, 0PTM0ZZ — Resection of Right Carpal, Open Approach, 0PTP0ZZ — Resection of Right Metacarpal, Open Approach, 0PTQ0ZZ — Resection of Left Metacarpal, Open Approach, 0PTR0ZZ — Resection of Right Thumb Phalanx, Open Approach, 0PTS0ZZ — Resection of Left Thumb Phalanx, Open Approach, +16 more

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.

0PDK0ZZ — Extraction of Right Ulna, Open Approach, 0PDL0ZZ — Extraction of Left Ulna, Open Approach, 0PDM0ZZ — Extraction of Right Carpal, Open Approach, 0PDN0ZZ — Extraction of Left Carpal, Open Approach, 0PDP0ZZ — Extraction of Right Metacarpal, Open Approach, 0PDQ0ZZ — Extraction of Left Metacarpal, Open Approach, 0PDR0ZZ — Extraction of Right Thumb Phalanx, Open Approach, 0PDS0ZZ — Extraction of Left Thumb Phalanx, Open Approach, 0PDT0ZZ — Extraction of Right Finger Phalanx, Open Approach, 0PDV0ZZ — Extraction of Left Finger Phalanx, Open Approach, 0Q500Z3 — Destruction of Lumbar Vertebra using Laser Interstitial Thermal Therapy, Open Approach, 0Q500ZZ — Destruction of Lumbar Vertebra, Open Approach, 0Q503Z3 — Destruction of Lumbar Vertebra using Laser Interstitial Thermal Therapy, Percutaneous Approach, 0Q503ZZ — Destruction of Lumbar Vertebra, Percutaneous Approach, 0Q504Z3 — Destruction of Lumbar Vertebra using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach, 0Q504ZZ — Destruction of Lumbar Vertebra, Percutaneous Endoscopic Approach, 0Q510Z3 — Destruction of Sacrum using Laser Interstitial Thermal Therapy, Open Approach, 0Q510ZZ — Destruction of Sacrum, Open Approach, 0Q513Z3 — Destruction of Sacrum using Laser Interstitial Thermal Therapy, Percutaneous Approach, 0Q513ZZ — Destruction of Sacrum, Percutaneous Approach, +568 more

Contextual Map

Every relationship of 0PTN0ZZ 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 0PTN0ZZ with these 5 related codes in Claim Check

PCS table

• 0PT[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
• Resection — Operation: Resection[Operation]: “Resection”— 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

• 0PT00ZZ — Resection of Sternum, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 0PT10ZZ — Resection of 1 to 2 Ribs, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 0PT20ZZ — Resection of 3 or More Ribs, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 0PT50ZZ — Resection of Right Scapula, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 0PT60ZZ — Resection of Left Scapula, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 0PT70ZZ — Resection of Right Glenoid Cavity, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 0PT80ZZ — Resection of Left Glenoid Cavity, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 0PT90ZZ — Resection of Right Clavicle, Open Approach[One axis away]— CMS ICD-10-PCS tables