Skip to main content
Inpatient Procedure Code

0R5U4ZZ ICD-10-PCS Code: Destruction of Right Metacarpophalangeal Joint, Percutaneous Endoscopic Approach

Destruction of R Metacarpophal Jt, 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 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 PartU

Metacarpophalangeal Joint, Right

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 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.

0R5P4ZZ — Destruction of Left Wrist Joint, Percutaneous Endoscopic Approach, 0R5Q4ZZ — Destruction of Right Carpal Joint, Percutaneous Endoscopic Approach, 0R5R4ZZ — Destruction of Left Carpal Joint, Percutaneous Endoscopic Approach, 0R5S4ZZ — Destruction of Right Carpometacarpal Joint, Percutaneous Endoscopic Approach, 0R5T4ZZ — Destruction of Left Carpometacarpal Joint, Percutaneous Endoscopic Approach, 0R5V4ZZ — Destruction of Left Metacarpophalangeal Joint, Percutaneous Endoscopic Approach, 0R5W4ZZ — Destruction of Right Finger Phalangeal Joint, Percutaneous Endoscopic Approach, 0R5X4ZZ — Destruction of Left Finger Phalangeal Joint, Percutaneous Endoscopic Approach, +20 more

Same operation — other Approach

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

0R5U0ZZ — Destruction of Right Metacarpophalangeal Joint, Open Approach, 0R5U3ZZ — Destruction of Right Metacarpophalangeal Joint, Percutaneous 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 0R5U4ZZ 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 0R5U4ZZ with these 5 related codes in Claim Check

PCS table

MS-DRG participation

Clinical classification (CCSR)

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

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