0PTQ0ZZ ICD-10-PCS Code: Resection of Left Metacarpal, 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 OperationT | Resection Cutting out or off, without replacement, all of a body part |
| 4 | Body PartQ | Metacarpal, Left |
| 5 | Approach0 | Open |
| 6 | DeviceZ | No 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.
0PTL0ZZ — Resection of Left Ulna, Open Approach, 0PTM0ZZ — Resection of Right Carpal, Open Approach, 0PTN0ZZ — Resection of Left Carpal, Open Approach, 0PTP0ZZ — Resection of Right Metacarpal, Open Approach, 0PTR0ZZ — Resection of Right Thumb Phalanx, Open Approach, 0PTS0ZZ — Resection of Left Thumb Phalanx, Open Approach, 0PTT0ZZ — Resection of Right Finger Phalanx, Open Approach, 0PTV0ZZ — Resection of Left Finger 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 0PTQ0ZZ 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
- 0PT[PCS table]
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”
- Upper Bones — Body System: Upper Bones[Body System]: “Upper Bones”
- Resection — Operation: Resection[Operation]: “Resection”
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)
- MST018 — Bone excision[CCSR category]: “Bone excision — 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 0PTQ0ZZ + 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 0PTQ0ZZ + 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 0PTQ0ZZ + 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 0PTQ0ZZ + 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 0PTQ0ZZ + A18.03 together
- and 40458 more
Nearest codes
- 0PT00ZZ — Resection of Sternum, Open Approach[One axis away]
- 0PT10ZZ — Resection of 1 to 2 Ribs, Open Approach[One axis away]
- 0PT20ZZ — Resection of 3 or More Ribs, Open Approach[One axis away]
- 0PT50ZZ — Resection of Right Scapula, Open Approach[One axis away]
- 0PT60ZZ — Resection of Left Scapula, Open Approach[One axis away]
- 0PT70ZZ — Resection of Right Glenoid Cavity, Open Approach[One axis away]
- 0PT80ZZ — Resection of Left Glenoid Cavity, Open Approach[One axis away]
- 0PT90ZZ — Resection of Right Clavicle, 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.