0RPN0JZ ICD-10-PCS Code: Removal of Synthetic Substitute from Right Wrist Joint, Open Approach

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 7 MS-DRGs:

• MDC 08 — Local Excision and Removal of Internal Fixation Devices Except Hip and Femur: DRG 495, DRG 496, DRG 497
• 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.

0RPJ0JZ — Removal of Synthetic Substitute from Right Shoulder Joint, Open Approach, 0RPK0JZ — Removal of Synthetic Substitute from Left Shoulder Joint, Open Approach, 0RPL0JZ — Removal of Synthetic Substitute from Right Elbow Joint, Open Approach, 0RPM0JZ — Removal of Synthetic Substitute from Left Elbow Joint, Open Approach, 0RPP0JZ — Removal of Synthetic Substitute from Left Wrist Joint, Open Approach, 0RPQ0JZ — Removal of Synthetic Substitute from Right Carpal Joint, Open Approach, 0RPR0JZ — Removal of Synthetic Substitute from Left Carpal Joint, Open Approach, 0RPS0JZ — Removal of Synthetic Substitute from Right Carpometacarpal Joint, Open Approach, +20 more

Same operation — other Approach

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

0RPN3JZ — Removal of Synthetic Substitute from Right Wrist Joint, Percutaneous Approach, 0RPN4JZ — Removal of Synthetic Substitute from Right Wrist Joint, Percutaneous Endoscopic Approach

Same operation — other Device

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

0RPN00Z — Removal of Drainage Device from Right Wrist Joint, Open Approach, 0RPN03Z — Removal of Infusion Device from Right Wrist Joint, Open Approach, 0RPN04Z — Removal of Internal Fixation Device from Right Wrist Joint, Open Approach, 0RPN05Z — Removal of External Fixation Device from Right Wrist Joint, Open Approach, 0RPN07Z — Removal of Autologous Tissue Substitute from Right Wrist Joint, Open Approach, 0RPN08Z — Removal of Spacer from Right Wrist Joint, Open Approach, 0RPN0KZ — Removal of Nonautologous Tissue Substitute from Right Wrist Joint, Open Approach

Same procedure category (CCSR), other tables

AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Arthroplasty of other joint (excluding knee and hip) (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.

+1555 more

Contextual Map

Every relationship of 0RPN0JZ 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 0RPN0JZ with these 5 related codes in Claim Check

PCS table

• 0RP[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
• Removal — Operation: Removal[Operation]: “Removal”— CMS ICD-10-PCS tables

MS-DRG participation

• DRG 495 — LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC[MS-DRG]: “LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC — Local Excision and Removal of Internal Fixation Devices Except Hip and Femur (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 496 — LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC[MS-DRG]: “LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC — Local Excision and Removal of Internal Fixation Devices Except Hip and Femur (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 497 — LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC[MS-DRG]: “LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC — Local Excision and Removal of Internal Fixation Devices Except Hip and Femur (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• 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) · FY2026
• 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) · FY2026
• 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) · FY2026
• 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) · FY2026

Clinical classification (CCSR)

• MST008 — Arthroplasty of other joint (excluding knee and hip)[CCSR category]: “Arthroplasty of other joint (excluding knee and hip) — Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1

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.”— CMS MS-DRG Definitions Manual · FY2026
• 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 · FY2026
• 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) · FY2026
• 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) · FY2026
• 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) · FY2026
• 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) · FY2026
• 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) · FY2026
• and 40458 more

Nearest codes

• 0RP00JZ — Removal of Synthetic Substitute from Occipital-cervical Joint, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 0RP10JZ — Removal of Synthetic Substitute from Cervical Vertebral Joint, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 0RP30JZ — Removal of Synthetic Substitute from Cervical Vertebral Disc, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 0RP40JZ — Removal of Synthetic Substitute from Cervicothoracic Vertebral Joint, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 0RP50JZ — Removal of Synthetic Substitute from Cervicothoracic Vertebral Disc, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 0RP60JZ — Removal of Synthetic Substitute from Thoracic Vertebral Joint, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 0RP90JZ — Removal of Synthetic Substitute from Thoracic Vertebral Disc, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 0RPA0JZ — Removal of Synthetic Substitute from Thoracolumbar Vertebral Joint, Open Approach[One axis away]— CMS ICD-10-PCS tables