0R5D3ZZ ICD-10-PCS Code: Destruction of Left Temporomandibular Joint, Percutaneous Approach
Destruction of Left Temporomandibular Joint, Perc 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 SystemR | Upper Joints |
| 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 PartD | Temporomandibular Joint, Left |
| 5 | Approach3 | Percutaneous |
| 6 | DeviceZ | No Device |
| 7 | QualifierZ | No Qualifier |
MS-DRG Grouper Relationships (FY2027)
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:
- MDC 03 — Other Ear, Nose, Mouth and Throat O.R. Procedures: DRG 143, DRG 144, DRG 145
- MDC 08 — Local Excision and Removal of Internal Fixation Devices Except Hip and Femur: DRG 495, DRG 496, DRG 497
- MDC 21 — Other O.R. Procedures for Injuries: DRG 907, DRG 908, DRG 909
- 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.
0R593ZZ — Destruction of Thoracic Vertebral Disc, Percutaneous Approach, 0R5A3ZZ — Destruction of Thoracolumbar Vertebral Joint, Percutaneous Approach, 0R5B3ZZ — Destruction of Thoracolumbar Vertebral Disc, Percutaneous Approach, 0R5C3ZZ — Destruction of Right Temporomandibular Joint, Percutaneous Approach, 0R5E3ZZ — Destruction of Right Sternoclavicular Joint, Percutaneous Approach, 0R5F3ZZ — Destruction of Left Sternoclavicular Joint, Percutaneous Approach, 0R5G3ZZ — Destruction of Right Acromioclavicular Joint, Percutaneous Approach, 0R5H3ZZ — Destruction of Left Acromioclavicular Joint, Percutaneous Approach, +20 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
0R5D0ZZ — Destruction of Left Temporomandibular Joint, Open Approach, 0R5D4ZZ — Destruction of Left Temporomandibular Joint, 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 Joint tissue excision (excluding discectomy) (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.
0RB00ZZ — Excision of Occipital-cervical Joint, Open Approach, 0RB03ZZ — Excision of Occipital-cervical Joint, Percutaneous Approach, 0RB04ZZ — Excision of Occipital-cervical Joint, Percutaneous Endoscopic Approach, 0RB10ZZ — Excision of Cervical Vertebral Joint, Open Approach, 0RB13ZZ — Excision of Cervical Vertebral Joint, Percutaneous Approach, 0RB14ZZ — Excision of Cervical Vertebral Joint, Percutaneous Endoscopic Approach, 0RB40ZZ — Excision of Cervicothoracic Vertebral Joint, Open Approach, 0RB43ZZ — Excision of Cervicothoracic Vertebral Joint, Percutaneous Approach, 0RB44ZZ — Excision of Cervicothoracic Vertebral Joint, Percutaneous Endoscopic Approach, 0RB60ZZ — Excision of Thoracic Vertebral Joint, Open Approach, 0RB63ZZ — Excision of Thoracic Vertebral Joint, Percutaneous Approach, 0RB64ZZ — Excision of Thoracic Vertebral Joint, Percutaneous Endoscopic Approach, 0RBA0ZZ — Excision of Thoracolumbar Vertebral Joint, Open Approach, 0RBA3ZZ — Excision of Thoracolumbar Vertebral Joint, Percutaneous Approach, 0RBA4ZZ — Excision of Thoracolumbar Vertebral Joint, Percutaneous Endoscopic Approach, 0RBC0ZZ — Excision of Right Temporomandibular Joint, Open Approach, 0RBC3ZZ — Excision of Right Temporomandibular Joint, Percutaneous Approach, 0RBC4ZZ — Excision of Right Temporomandibular Joint, Percutaneous Endoscopic Approach, 0RBD0ZZ — Excision of Left Temporomandibular Joint, Open Approach, 0RBD3ZZ — Excision of Left Temporomandibular Joint, Percutaneous Approach, +214 more
Contextual Map
Every relationship of 0R5D3ZZ 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 0R5D3ZZ with these 5 related codes in Claim Check
PCS table
- 0R5[PCS table]— CMS ICD-10-PCS tables
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
- Upper Joints — Body System: Upper Joints[Body System]: “Upper Joints”— CMS ICD-10-PCS tables
- Destruction — Operation: Destruction[Operation]: “Destruction”— CMS ICD-10-PCS tables
MS-DRG participation (12)
- DRG 143 — OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC[MS-DRG]: “OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC — Other Ear, Nose, Mouth and Throat O.R. Procedures (MDC 03)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 144 — OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC[MS-DRG]: “OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC — Other Ear, Nose, Mouth and Throat O.R. Procedures (MDC 03)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 145 — OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC[MS-DRG]: “OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC — Other Ear, Nose, Mouth and Throat O.R. Procedures (MDC 03)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 495 — LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC[MS-DRG]: “LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC — Local Excision and Removal of Internal Fixation Devices Except Hip and Femur (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 496 — LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC[MS-DRG]: “LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC — Local Excision and Removal of Internal Fixation Devices Except Hip and Femur (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 497 — LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC[MS-DRG]: “LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC — Local Excision and Removal of Internal Fixation Devices Except Hip and Femur (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 907 — OTHER O.R. PROCEDURES FOR INJURIES WITH MCC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH MCC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 908 — OTHER O.R. PROCEDURES FOR INJURIES WITH CC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH CC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- and 4 more
Clinical classification (CCSR)
- MST017 — Joint tissue excision (excluding discectomy)[CCSR category]: “Joint tissue excision (excluding discectomy) — Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
MDC crossing · diagnoses (33240)
- MDC 03 — Diseases and Disorders of the Ear, Nose, Mouth and Throat[MDC crossing]: “Diseases and Disorders of the Ear, Nose, Mouth and Throat — 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 · FY2027
- 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 · FY2027
- A18.6 — Tuberculosis of (inner) (middle) ear[Same-MDC diagnosis]: “Tuberculosis of (inner) (middle) ear — grouped in MDC 03, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- A36.0 — Pharyngeal diphtheria[Same-MDC diagnosis]: “Pharyngeal diphtheria — grouped in MDC 03, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- A36.1 — Nasopharyngeal diphtheria[Same-MDC diagnosis]: “Nasopharyngeal diphtheria — grouped in MDC 03, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- A36.2 — Laryngeal diphtheria[Same-MDC diagnosis]: “Laryngeal diphtheria — grouped in MDC 03, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- A54.5 — Gonococcal pharyngitis[Same-MDC diagnosis]: “Gonococcal pharyngitis — grouped in MDC 03, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- and 33235 more
Nearest codes
- 0R503ZZ — Destruction of Occipital-cervical Joint, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0R513ZZ — Destruction of Cervical Vertebral Joint, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0R533ZZ — Destruction of Cervical Vertebral Disc, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0R543ZZ — Destruction of Cervicothoracic Vertebral Joint, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0R553ZZ — Destruction of Cervicothoracic Vertebral Disc, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0R563ZZ — Destruction of Thoracic Vertebral Joint, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0R593ZZ — Destruction of Thoracic Vertebral Disc, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0R5A3ZZ — Destruction of Thoracolumbar Vertebral Joint, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
Change history
No changes recorded for this code. This ledger tracks additions, deletions and description changes from FY2016 onward. Note changes are not tracked.
Read from: CMS ICD-10-PCS code tables, index and definitions — FY2027; CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44; 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 · How MedCoder verifies its implementation
Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources