0RHM45Z

Potential MS-DRG Relationships (FY2026)

The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 5 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

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.

0RHL45Z — Insertion of External Fixation Device into Right Elbow Joint, Percutaneous Endoscopic Approach, 0RHN45Z — Insertion of External Fixation Device into Right Wrist Joint, Percutaneous Endoscopic Approach, 0RHP45Z — Insertion of External Fixation Device into Left Wrist Joint, Percutaneous Endoscopic Approach, 0RHQ45Z — Insertion of External Fixation Device into Right Carpal Joint, Percutaneous Endoscopic Approach, 0RHR45Z — Insertion of External Fixation Device into Left Carpal Joint, Percutaneous Endoscopic Approach, 0RHS45Z — Insertion of External Fixation Device into Right Carpometacarpal Joint, Percutaneous Endoscopic Approach, 0RHT45Z — Insertion of External Fixation Device into Left Carpometacarpal Joint, Percutaneous Endoscopic Approach, 0RHU45Z — Insertion of External Fixation Device into Right Metacarpophalangeal Joint, Percutaneous Endoscopic Approach, +3 more

Same operation — other Approach

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

0RHM05Z — Insertion of External Fixation Device into Left Elbow Joint, Open Approach, 0RHM35Z — Insertion of External Fixation Device into Left Elbow Joint, Percutaneous Approach

Same operation — other Device

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

0RHM43Z — Insertion of Infusion Device into Left Elbow Joint, Percutaneous Endoscopic Approach, 0RHM44Z — Insertion of Internal Fixation Device into Left Elbow Joint, Percutaneous Endoscopic Approach, 0RHM48Z — Insertion of Spacer into Left Elbow Joint, Percutaneous Endoscopic Approach

Contextual Map

Every relationship of 0RHM45Z 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)”

MDC crossing · diagnoses (31735)

• 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 31730 more

Nearest codes

• 0RHL45Z — Insertion of External Fixation Device into Right Elbow Joint, Percutaneous Endoscopic Approach [One axis away]
• 0RHM05Z — Insertion of External Fixation Device into Left Elbow Joint, Open Approach [One axis away]
• 0RHM35Z — Insertion of External Fixation Device into Left Elbow Joint, Percutaneous Approach [One axis away]
• 0RHM43Z — Insertion of Infusion Device into Left Elbow Joint, Percutaneous Endoscopic Approach [One axis away]
• 0RHM44Z — Insertion of Internal Fixation Device into Left Elbow Joint, Percutaneous Endoscopic Approach [One axis away]
• 0RHM48Z — Insertion of Spacer into Left Elbow Joint, Percutaneous Endoscopic Approach [One axis away]
• 0RHN45Z — Insertion of External Fixation Device into Right Wrist Joint, Percutaneous Endoscopic Approach [One axis away]
• 0RHP45Z — Insertion of External Fixation Device into Left Wrist Joint, Percutaneous Endoscopic Approach [One axis away]