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ICD-10-PCS 2027 procedure code

0PNP4ZZRelease Right Metacarpal, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0PNP4ZZ

0PNP4ZZ is the ICD-10-PCS code for a release procedure on the right metacarpal using a percutaneous endoscopic approach. In ICD-10-PCS, release means freeing a body part from an abnormal physical constraint by cutting or by the use of force.

In plain terms, this corresponds to other repair or plastic operations on bone, carpals and metacarpals, the ICD-9-CM procedure title it maps to (78.44).

For a different body part, codes include 0PN04ZZ (sternum), 0PN14ZZ (ribs, 1 to 2), 0PN24ZZ (ribs, 3 or more), 0PN34ZZ (cervical vertebra), 0PN44ZZ (thoracic vertebra), 0PN54ZZ (right scapula) and 20 more.

The same procedure with a different approach is coded 0PNP0ZZ (open) and 0PNP3ZZ (percutaneous).

It is an operating-room procedure in the MS-DRG logic for DRG 513 (Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with CC/MCC), DRG 514 (Hand or Wrist Procedures, Except Major Thumb or Joint Procedures without CC/MCC), DRG 906 (Hand Procedures for Injuries), DRG 957 (Other O.R. Procedures for Multiple Significant Trauma with MCC), DRG 958 (Other O.R. Procedures for Multiple Significant Trauma with CC) and DRG 959 (Other O.R. Procedures for Multiple Significant Trauma without CC/MCC), under the surgical categories “Hand or Wrist Procedures, Except Major Thumb or Joint Procedures”, “Hand Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.

It has been valid since ICD-10-PCS took effect on October 1, 2015.

What each character means

1. Section
0Medical and Surgical
2. Body System
PUpper Bones
3. Operation
NRelease

Freeing a body part from an abnormal physical constraint by cutting or by the use of force

Some of the restraining tissue may be taken out but none of the body part is taken out

Includes: Adhesiolysis, carpal tunnel release

4. Body Part
PMetacarpal, Right
5. Approach
4Percutaneous Endoscopic

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

6. Device
ZNo Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Hand or Wrist Procedures, Except Major Thumb or Joint Procedures

MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Hand Procedures for Injuries

ICD-9-CM equivalent

Converter →
  • 78.44Other repair or plastic operations on bone, carpals and metacarpalsapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 0PNP4ZZ

Is 0PNP4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0PNP4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0PNP4ZZ an O.R. procedure?

Yes. 0PNP4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0PNP4ZZ group to?

Depending on the principal diagnosis, 0PNP4ZZ can group to MS-DRG 513, MS-DRG 514, MS-DRG 906, MS-DRG 957, MS-DRG 958 and MS-DRG 959.

What is the ICD-9 procedure code for 0PNP4ZZ?

The CMS GEMs map 0PNP4ZZ to ICD-9-CM 78.44 (Other repair or plastic operations on bone, carpals and metacarpals).