0RHT34Z ICD-10-PCS Code: Insertion of Internal Fixation Device into Left Carpometacarpal Joint, Percutaneous Approach
Insertion of Int Fix into L Carpometacarp 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 PartT | Carpometacarpal Joint, Left |
| 5 | Approach3 | Percutaneous |
| 6 | Device4 | Internal Fixation 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 2 MS-DRGs:
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.
0RHP34Z — Insertion of Internal Fixation Device into Left Wrist Joint, Percutaneous Approach, 0RHQ34Z — Insertion of Internal Fixation Device into Right Carpal Joint, Percutaneous Approach, 0RHR34Z — Insertion of Internal Fixation Device into Left Carpal Joint, Percutaneous Approach, 0RHS34Z — Insertion of Internal Fixation Device into Right Carpometacarpal Joint, Percutaneous Approach, 0RHU34Z — Insertion of Internal Fixation Device into Right Metacarpophalangeal Joint, Percutaneous Approach, 0RHV34Z — Insertion of Internal Fixation Device into Left Metacarpophalangeal Joint, Percutaneous Approach, 0RHW34Z — Insertion of Internal Fixation Device into Right Finger Phalangeal Joint, Percutaneous Approach, 0RHX34Z — Insertion of Internal Fixation Device into Left Finger Phalangeal Joint, Percutaneous Approach, +16 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
0RHT04Z — Insertion of Internal Fixation Device into Left Carpometacarpal Joint, Open Approach, 0RHT44Z — Insertion of Internal Fixation Device into Left Carpometacarpal Joint, Percutaneous Endoscopic Approach
Same operation — other Device
Same table and root operation, differing only in the device character.
0RHT33Z — Insertion of Infusion Device into Left Carpometacarpal Joint, Percutaneous Approach, 0RHT35Z — Insertion of External Fixation Device into Left Carpometacarpal Joint, Percutaneous Approach, 0RHT38Z — Insertion of Spacer into Left Carpometacarpal 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 fusion (excluding spine) (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.
+1594 more
Contextual Map
Every relationship of 0RHT34Z 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]
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”
- Upper Joints — Body System: Upper Joints[Body System]: “Upper Joints”
- Insertion — Operation: Insertion[Operation]: “Insertion”
MS-DRG participation
- DRG 506 — MAJOR THUMB OR JOINT PROCEDURES[MS-DRG]: “MAJOR THUMB OR JOINT PROCEDURES — Major Thumb or Joint Procedures (MDC 08)”
- DRG 906 — HAND PROCEDURES FOR INJURIES[MS-DRG]: “HAND PROCEDURES FOR INJURIES — Hand Procedures for Injuries (MDC 21)”
Clinical classification (CCSR)
- MST014 — Joint fusion (excluding spine)[CCSR category]: “Joint fusion (excluding spine) — Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures”
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 0RHT34Z + A02.23 together
- A02.24 — Salmonella osteomyelitis[Same-MDC diagnosis]: “Salmonella osteomyelitis — grouped in MDC 08, the diagnosis side of this code's crossing.” · Check 0RHT34Z + A02.24 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 0RHT34Z + A18.01 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 0RHT34Z + A18.02 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 0RHT34Z + A18.03 together
- and 31730 more
Nearest codes
- 0RH034Z — Insertion of Internal Fixation Device into Occipital-cervical Joint, Percutaneous Approach[One axis away]
- 0RH134Z — Insertion of Internal Fixation Device into Cervical Vertebral Joint, Percutaneous Approach[One axis away]
- 0RH434Z — Insertion of Internal Fixation Device into Cervicothoracic Vertebral Joint, Percutaneous Approach[One axis away]
- 0RH634Z — Insertion of Internal Fixation Device into Thoracic Vertebral Joint, Percutaneous Approach[One axis away]
- 0RHA34Z — Insertion of Internal Fixation Device into Thoracolumbar Vertebral Joint, Percutaneous Approach[One axis away]
- 0RHC34Z — Insertion of Internal Fixation Device into Right Temporomandibular Joint, Percutaneous Approach[One axis away]
- 0RHD34Z — Insertion of Internal Fixation Device into Left Temporomandibular Joint, Percutaneous Approach[One axis away]
- 0RHE34Z — Insertion of Internal Fixation Device into Right Sternoclavicular Joint, Percutaneous Approach[One axis away]
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.