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ICD-10-PCS 2027 procedure code

0PQQ4ZZRepair Left 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 0PQQ4ZZ

0PQQ4ZZ is the ICD-10-PCS code for a repair procedure on the left metacarpal using a percutaneous endoscopic approach. In ICD-10-PCS, repair means restoring, to the extent possible, a body part to its normal anatomic structure and function.

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 0PQ04ZZ (sternum), 0PQ14ZZ (ribs, 1 to 2), 0PQ24ZZ (ribs, 3 or more), 0PQ34ZZ (cervical vertebra), 0PQ44ZZ (thoracic vertebra), 0PQ54ZZ (right scapula) and 20 more.

The same procedure with a different approach is coded 0PQQ0ZZ (open), 0PQQ3ZZ (percutaneous) and 0PQQXZZ (external).

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
QRepair

Restoring, to the extent possible, a body part to its normal anatomic structure and function

Used only when the method to accomplish the repair is not one of the other root operations

Includes: Colostomy takedown, suture of laceration

4. Body Part
QMetacarpal, Left
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 0PQQ4ZZ

Is 0PQQ4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0PQQ4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0PQQ4ZZ an O.R. procedure?

Yes. 0PQQ4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0PQQ4ZZ group to?

Depending on the principal diagnosis, 0PQQ4ZZ 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 0PQQ4ZZ?

The CMS GEMs map 0PQQ4ZZ to ICD-9-CM 78.44 (Other repair or plastic operations on bone, carpals and metacarpals).