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Inpatient Procedure Code

0RPVX4Z ICD-10-PCS Code: Removal of Internal Fixation Device from Left Metacarpophalangeal Joint, External Approach

Removal of Int Fix from L Metacarpophal Jt, Extern 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.

PositionValueMeaning
1
Section0

Medical and Surgical

2
Body SystemR

Upper Joints

3
Root OperationP

Removal

Taking out or off a device from a body part

4
Body PartV

Metacarpophalangeal Joint, Left

5
ApproachX

External

6
Device4

Internal Fixation Device

7
QualifierZ

No Qualifier

Related Codes

Same operation — other Body Part

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

0RPPX4Z — Removal of Internal Fixation Device from Left Wrist Joint, External Approach, 0RPQX4Z — Removal of Internal Fixation Device from Right Carpal Joint, External Approach, 0RPRX4Z — Removal of Internal Fixation Device from Left Carpal Joint, External Approach, 0RPSX4Z — Removal of Internal Fixation Device from Right Carpometacarpal Joint, External Approach, 0RPTX4Z — Removal of Internal Fixation Device from Left Carpometacarpal Joint, External Approach, 0RPUX4Z — Removal of Internal Fixation Device from Right Metacarpophalangeal Joint, External Approach, 0RPWX4Z — Removal of Internal Fixation Device from Right Finger Phalangeal Joint, External Approach, 0RPXX4Z — Removal of Internal Fixation Device from Left Finger Phalangeal Joint, External Approach, +16 more

Same operation — other Approach

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

0RPV04Z — Removal of Internal Fixation Device from Left Metacarpophalangeal Joint, Open Approach, 0RPV34Z — Removal of Internal Fixation Device from Left Metacarpophalangeal Joint, Percutaneous Approach, 0RPV44Z — Removal of Internal Fixation Device from Left Metacarpophalangeal Joint, Percutaneous Endoscopic Approach

Same operation — other Device

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

0RPVX0Z — Removal of Drainage Device from Left Metacarpophalangeal Joint, External Approach, 0RPVX3Z — Removal of Infusion Device from Left Metacarpophalangeal Joint, External Approach, 0RPVX5Z — Removal of External Fixation Device from Left Metacarpophalangeal 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 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.

+1562 more

Contextual Map

Every relationship of 0RPVX4Z 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

Clinical classification (CCSR)

  • MST014 — Joint fusion (excluding spine)[CCSR category]: “Joint fusion (excluding spine) — Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1

Nearest codes

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.

Read from: CMS ICD-10-PCS code tables, index and definitions — FY2026 (April); CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43; 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