0RJT4ZZ ICD-10-PCS Code: Inspection of Left Carpometacarpal Joint, Percutaneous Endoscopic Approach
Inspection of Left 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 OperationJ | Inspection Visually and/or manually exploring a body part |
| 4 | Body PartT | Carpometacarpal Joint, Left |
| 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 8 MS-DRGs:
- MDC 08 — Hand or Wrist Procedures, Except Major Thumb or Joint Procedures: DRG 513, DRG 514
- 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.
0RJP4ZZ — Inspection of Left Wrist Joint, Percutaneous Endoscopic Approach, 0RJQ4ZZ — Inspection of Right Carpal Joint, Percutaneous Endoscopic Approach, 0RJR4ZZ — Inspection of Left Carpal Joint, Percutaneous Endoscopic Approach, 0RJS4ZZ — Inspection of Right Carpometacarpal Joint, Percutaneous Endoscopic Approach, 0RJU4ZZ — Inspection of Right Metacarpophalangeal Joint, Percutaneous Endoscopic Approach, 0RJV4ZZ — Inspection of Left Metacarpophalangeal Joint, Percutaneous Endoscopic Approach, 0RJW4ZZ — Inspection of Right Finger Phalangeal Joint, Percutaneous Endoscopic Approach, 0RJX4ZZ — Inspection 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.
0RJT0ZZ — Inspection of Left Carpometacarpal Joint, Open Approach, 0RJT3ZZ — Inspection of Left Carpometacarpal Joint, Percutaneous Approach, 0RJTXZZ — Inspection of Left Carpometacarpal Joint, External Approach
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Bone and joint biopsy (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.
0RBU4ZX — Excision of Right Metacarpophalangeal Joint, Percutaneous Endoscopic Approach, Diagnostic, 0RBV0ZX — Excision of Left Metacarpophalangeal Joint, Open Approach, Diagnostic, 0RBV3ZX — Excision of Left Metacarpophalangeal Joint, Percutaneous Approach, Diagnostic, 0RBV4ZX — Excision of Left Metacarpophalangeal Joint, Percutaneous Endoscopic Approach, Diagnostic, 0RBW0ZX — Excision of Right Finger Phalangeal Joint, Open Approach, Diagnostic, 0RBW3ZX — Excision of Right Finger Phalangeal Joint, Percutaneous Approach, Diagnostic, 0RBW4ZX — Excision of Right Finger Phalangeal Joint, Percutaneous Endoscopic Approach, Diagnostic, 0RBX0ZX — Excision of Left Finger Phalangeal Joint, Open Approach, Diagnostic, 0RBX3ZX — Excision of Left Finger Phalangeal Joint, Percutaneous Approach, Diagnostic, 0RBX4ZX — Excision of Left Finger Phalangeal Joint, Percutaneous Endoscopic Approach, Diagnostic, 0S900ZX — Drainage of Lumbar Vertebral Joint, Open Approach, Diagnostic, 0S904ZX — Drainage of Lumbar Vertebral Joint, Percutaneous Endoscopic Approach, Diagnostic, 0S920ZX — Drainage of Lumbar Vertebral Disc, Open Approach, Diagnostic, 0S924ZX — Drainage of Lumbar Vertebral Disc, Percutaneous Endoscopic Approach, Diagnostic, 0S930ZX — Drainage of Lumbosacral Joint, Open Approach, Diagnostic, 0S934ZX — Drainage of Lumbosacral Joint, Percutaneous Endoscopic Approach, Diagnostic, 0S940ZX — Drainage of Lumbosacral Disc, Open Approach, Diagnostic, 0S944ZX — Drainage of Lumbosacral Disc, Percutaneous Endoscopic Approach, Diagnostic, 0S950ZX — Drainage of Sacrococcygeal Joint, Open Approach, Diagnostic, 0S954ZX — Drainage of Sacrococcygeal Joint, Percutaneous Endoscopic Approach, Diagnostic, +793 more
Contextual Map
Every relationship of 0RJT4ZZ 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 0RJT4ZZ with these 5 related codes in Claim Check
PCS table
- 0RJ[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
- Inspection — Operation: Inspection[Operation]: “Inspection”— 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 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)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 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)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 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)”— 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)
- MST002 — Bone and joint biopsy[CCSR category]: “Bone and joint biopsy — 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
- 0RJ04ZZ — Inspection of Occipital-cervical Joint, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0RJ14ZZ — Inspection of Cervical Vertebral Joint, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0RJ34ZZ — Inspection of Cervical Vertebral Disc, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0RJ44ZZ — Inspection of Cervicothoracic Vertebral Joint, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0RJ54ZZ — Inspection of Cervicothoracic Vertebral Disc, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0RJ64ZZ — Inspection of Thoracic Vertebral Joint, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0RJ94ZZ — Inspection of Thoracic Vertebral Disc, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0RJA4ZZ — Inspection 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 revisedInspection of Left Metacarpocarpal Joint, Percutaneous Endoscopic Approach → Inspection of Left 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