0RHL35Z
Insertion of External Fixation Device into Right Elbow Joint, Percutaneous Approach
Insertion of Ext Fix into R Elbow Jt, 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 OperationH | Insertion Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part |
| 4 | Body PartL | Elbow Joint, Right |
| 5 | Approach3 | Percutaneous |
| 6 | Device5 | External Fixation Device |
| 7 | QualifierZ | No Qualifier |
Potential MS-DRG Relationships (FY2026)
The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 8 MS-DRGs:
- MDC 08 — Major Shoulder or Elbow Joint Procedures: DRG 507, DRG 508
- 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.
0RHM35Z — Insertion of External Fixation Device into Left Elbow Joint, Percutaneous Approach, 0RHN35Z — Insertion of External Fixation Device into Right Wrist Joint, Percutaneous Approach, 0RHP35Z — Insertion of External Fixation Device into Left Wrist Joint, Percutaneous Approach, 0RHQ35Z — Insertion of External Fixation Device into Right Carpal Joint, Percutaneous Approach, 0RHR35Z — Insertion of External Fixation Device into Left Carpal Joint, Percutaneous Approach, 0RHS35Z — Insertion of External Fixation Device into Right Carpometacarpal Joint, Percutaneous Approach, 0RHT35Z — Insertion of External Fixation Device into Left Carpometacarpal Joint, Percutaneous Approach, 0RHU35Z — Insertion of External Fixation Device into Right Metacarpophalangeal Joint, Percutaneous Approach, +3 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
0RHL05Z — Insertion of External Fixation Device into Right Elbow Joint, Open Approach, 0RHL45Z — Insertion of External Fixation Device into Right Elbow Joint, Percutaneous Endoscopic Approach
Same operation — other Device
Same table and root operation, differing only in the device character.
0RHL33Z — Insertion of Infusion Device into Right Elbow Joint, Percutaneous Approach, 0RHL34Z — Insertion of Internal Fixation Device into Right Elbow Joint, Percutaneous Approach, 0RHL38Z — Insertion of Spacer into Right Elbow Joint, Percutaneous Approach
Contextual Map
Every relationship of 0RHL35Z 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
- 0RH[PCS table]
- [object Object] — Section: [object Object] [Section]: “[object Object]”
- [object Object] — Body System: [object Object] [Body System]: “[object Object]”
- [object Object] — Operation: [object Object] [Operation]: “[object Object]”
MS-DRG participation
- DRG 507 — MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC [MS-DRG]: “MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC — Major Shoulder or Elbow Joint Procedures (MDC 08)”
- DRG 508 — MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC [MS-DRG]: “MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC — Major Shoulder or Elbow Joint Procedures (MDC 08)”
- 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)”
- 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)”
- DRG 909 — OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC [MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC — Other O.R. 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)”
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 together
- A02.24 — Salmonella osteomyelitis [Same-MDC diagnosis]: “Salmonella osteomyelitis — grouped in MDC 08, the diagnosis side of this code's crossing.” · check 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 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 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 together
- and 40458 more
Nearest codes
- 0RHL05Z — Insertion of External Fixation Device into Right Elbow Joint, Open Approach [One axis away]
- 0RHL33Z — Insertion of Infusion Device into Right Elbow Joint, Percutaneous Approach [One axis away]
- 0RHL34Z — Insertion of Internal Fixation Device into Right Elbow Joint, Percutaneous Approach [One axis away]
- 0RHL38Z — Insertion of Spacer into Right Elbow Joint, Percutaneous Approach [One axis away]
- 0RHL45Z — Insertion of External Fixation Device into Right Elbow Joint, Percutaneous Endoscopic Approach [One axis away]
- 0RHM35Z — Insertion of External Fixation Device into Left Elbow Joint, Percutaneous Approach [One axis away]
- 0RHN35Z — Insertion of External Fixation Device into Right Wrist Joint, Percutaneous Approach [One axis away]
- 0RHP35Z — Insertion of External Fixation Device into Left Wrist Joint, Percutaneous Approach [One axis away]
Change history
No changes recorded for this code — unchanged since the FY2026 (April) baseline of the change ledger.