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Inpatient Procedure Code

0Q5P4ZZ ICD-10-PCS Code: Destruction of Left Metatarsal, Percutaneous Endoscopic Approach

Destruction of Left Metatarsal, 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 SystemQ

Lower Bones

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 PartP

Metatarsal, Left

5
Approach4

Percutaneous Endoscopic

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 12 MS-DRGs:

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.

0Q5J4ZZ — Destruction of Right Fibula, Percutaneous Endoscopic Approach, 0Q5K4ZZ — Destruction of Left Fibula, Percutaneous Endoscopic Approach, 0Q5L4ZZ — Destruction of Right Tarsal, Percutaneous Endoscopic Approach, 0Q5M4ZZ — Destruction of Left Tarsal, Percutaneous Endoscopic Approach, 0Q5N4ZZ — Destruction of Right Metatarsal, Percutaneous Endoscopic Approach, 0Q5Q4ZZ — Destruction of Right Toe Phalanx, Percutaneous Endoscopic Approach, 0Q5R4ZZ — Destruction of Left Toe Phalanx, Percutaneous Endoscopic Approach, 0Q5S4ZZ — Destruction of Coccyx, Percutaneous Endoscopic Approach, +16 more

Same operation — other Approach

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

0Q5P0ZZ — Destruction of Left Metatarsal, Open Approach, 0Q5P3ZZ — Destruction of Left Metatarsal, Percutaneous 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.

0PTK0ZZ — Resection of Right Ulna, Open Approach, 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, 0PTQ0ZZ — Resection of Left 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, 0QB00ZZ — Excision of Lumbar Vertebra, Open Approach, 0QB03ZZ — Excision of Lumbar Vertebra, Percutaneous Approach, 0QB04ZZ — Excision of Lumbar Vertebra, Percutaneous Endoscopic Approach, 0QB10ZZ — Excision of Sacrum, Open Approach, 0QB13ZZ — Excision of Sacrum, Percutaneous Approach, 0QB14ZZ — Excision of Sacrum, Percutaneous Endoscopic Approach, 0QB20ZZ — Excision of Right Pelvic Bone, Open Approach, 0QB23ZZ — Excision of Right Pelvic Bone, Percutaneous Approach, 0QB24ZZ — Excision of Right Pelvic Bone, Percutaneous Endoscopic Approach, 0QB30ZZ — Excision of Left Pelvic Bone, Open Approach, +512 more

Contextual Map

Every relationship of 0Q5P4ZZ 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 0Q5P4ZZ with these 5 related codes in Claim Check

PCS table

MS-DRG participation (12)

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 (32368)

  • 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 10 — Endocrine, Nutritional and Metabolic Diseases and Disorders[MDC crossing]: “Endocrine, Nutritional and Metabolic Diseases and Disorders — 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 32363 more

Nearest codes

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.

Read from: CMS ICD-10-PCS code tables, index and definitions — FY2026 (April); CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43; AHRQ HCUP Clinical Classifications Software Refined for ICD-10-PCS Procedures (hcup-us.ahrq.gov/toolssoftware/ccsr/PRCCSR_v2026-1.zip) — v2026.1. All data sources · How to read the labels