0RBS4ZZ ICD-10-PCS Code: Excision of Right Carpometacarpal Joint, Percutaneous Endoscopic Approach
Excision of Right Carpometacarpal Joint, 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.
| Position | Value | Meaning |
|---|---|---|
| 1 | Section0 | Medical and Surgical |
| 2 | Body SystemR | Upper Joints |
| 3 | Root OperationB | Excision Cutting out or off, without replacement, a portion of a body part |
| 4 | Body PartS | Carpometacarpal Joint, Right |
| 5 | Approach4 | Percutaneous Endoscopic |
| 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 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.
0RBN4ZZ — Excision of Right Wrist Joint, Percutaneous Endoscopic Approach, 0RBP4ZZ — Excision of Left Wrist Joint, Percutaneous Endoscopic Approach, 0RBQ4ZZ — Excision of Right Carpal Joint, Percutaneous Endoscopic Approach, 0RBR4ZZ — Excision of Left Carpal Joint, Percutaneous Endoscopic Approach, 0RBT4ZZ — Excision of Left Carpometacarpal Joint, Percutaneous Endoscopic Approach, 0RBU4ZZ — Excision of Right Metacarpophalangeal Joint, Percutaneous Endoscopic Approach, 0RBV4ZZ — Excision of Left Metacarpophalangeal Joint, Percutaneous Endoscopic Approach, 0RBW4ZZ — Excision of Right Finger Phalangeal Joint, Percutaneous Endoscopic Approach, +20 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
0RBS0ZZ — Excision of Right Carpometacarpal Joint, Open Approach, 0RBS3ZZ — Excision of Right Carpometacarpal Joint, Percutaneous Approach
Same operation — other Qualifier
Same table and root operation, differing only in the qualifier character.
0RBS4ZX — Excision of Right Carpometacarpal Joint, Percutaneous Endoscopic Approach, Diagnostic
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.
0R5U4ZZ — Destruction of Right Metacarpophalangeal Joint, Percutaneous Endoscopic Approach, 0R5V0ZZ — Destruction of Left Metacarpophalangeal Joint, Open Approach, 0R5V3ZZ — Destruction of Left Metacarpophalangeal Joint, Percutaneous Approach, 0R5V4ZZ — Destruction of Left Metacarpophalangeal Joint, Percutaneous Endoscopic Approach, 0R5W0ZZ — Destruction of Right Finger Phalangeal Joint, Open Approach, 0R5W3ZZ — Destruction of Right Finger Phalangeal Joint, Percutaneous Approach, 0R5W4ZZ — Destruction of Right Finger Phalangeal Joint, Percutaneous Endoscopic Approach, 0R5X0ZZ — Destruction of Left Finger Phalangeal Joint, Open Approach, 0R5X3ZZ — Destruction of Left Finger Phalangeal Joint, Percutaneous Approach, 0R5X4ZZ — Destruction of Left Finger Phalangeal Joint, Percutaneous Endoscopic Approach, 0RT40ZZ — Resection of Cervicothoracic Vertebral Joint, Open Approach, 0RTC0ZZ — Resection of Right Temporomandibular Joint, Open Approach, 0RTD0ZZ — Resection of Left Temporomandibular Joint, Open Approach, 0RTE0ZZ — Resection of Right Sternoclavicular Joint, Open Approach, 0RTF0ZZ — Resection of Left Sternoclavicular Joint, Open Approach, 0RTG0ZZ — Resection of Right Acromioclavicular Joint, Open Approach, 0RTH0ZZ — Resection of Left Acromioclavicular Joint, Open Approach, 0RTJ0ZZ — Resection of Right Shoulder Joint, Open Approach, 0RTK0ZZ — Resection of Left Shoulder Joint, Open Approach, 0RTL0ZZ — Resection of Right Elbow Joint, Open Approach, +214 more
Contextual Map
Every relationship of 0RBS4ZZ 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 0RBS4ZZ with these 5 related codes in Claim Check
PCS table
- 0RB[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
- Excision — Operation: Excision[Operation]: “Excision”— 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) · FY2027
- 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) · FY2027
- 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) · FY2027
- 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) · FY2027
- 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) · FY2027
- 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) · FY2027
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 (40518)
- 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
- 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 · FY2027
- 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) · FY2027
- 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) · FY2027
- 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) · FY2027
- 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) · FY2027
- 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) · FY2027
- and 40513 more
Nearest codes
- 0RB04ZZ — Excision of Occipital-cervical Joint, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0RB14ZZ — Excision of Cervical Vertebral Joint, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0RB34ZZ — Excision of Cervical Vertebral Disc, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0RB44ZZ — Excision of Cervicothoracic Vertebral Joint, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0RB54ZZ — Excision of Cervicothoracic Vertebral Disc, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0RB64ZZ — Excision of Thoracic Vertebral Joint, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0RB94ZZ — Excision of Thoracic Vertebral Disc, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0RBA4ZZ — Excision of Thoracolumbar Vertebral Joint, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
Change history
- FY2018 — Description revised[Change history]— CMS release files (code change ledger) · icd10pcs-fy2018
Change history
- FY2018 — October 1, 2017Description revisedExcision of Right Metacarpocarpal Joint, Percutaneous Endoscopic Approach → Excision of Right Carpometacarpal Joint, Percutaneous Endoscopic ApproachFY2018 changes
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