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ICD-10-PCS 2027 procedure code

0Q8P4ZZDivision of Left Metatarsal, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Division of Left Metatarsal, Perc Endo Approach

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 0Q8P4ZZ

0Q8P4ZZ is the ICD-10-PCS code for a division procedure on the left metatarsal using a percutaneous endoscopic approach. In ICD-10-PCS, division means cutting into a body part, without draining fluids and/or gases from the body part, in order to separate or transect a body part.

In plain terms, this corresponds to other division of bone, tarsals and metatarsals, the ICD-9-CM procedure title it maps to (77.38).

For a different body part, codes include 0Q804ZZ (lumbar vertebra), 0Q814ZZ (sacrum), 0Q824ZZ (right pelvic bone), 0Q834ZZ (left pelvic bone), 0Q844ZZ (right acetabulum), 0Q854ZZ (left acetabulum) and 18 more.

The same procedure with a different approach is coded 0Q8P0ZZ (open) and 0Q8P3ZZ (percutaneous).

It is an operating-room procedure in the MS-DRG logic for DRG 503 (Foot Procedures with MCC), DRG 504 (Foot Procedures with CC), DRG 505 (Foot Procedures without CC/MCC), DRG 628 (Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC or Insertion of Antibiotic-eluting Bone Void Filler), DRG 629 (Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC) and DRG 630 (Other Endocrine, Nutritional and Metabolic O.R. Procedures without CC/MCC), under the surgical categories “Foot Procedures”, “Other Endocrine, Nutritional and Metabolic O.R. Procedures”, “Other O.R. Procedures for Injuries” and 1 more.

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
QLower Bones
3. Operation
8Division

Cutting into a body part, without draining fluids and/or gases from the body part, in order to separate or transect a body part

All or a portion of the body part is separated into two or more portions

Includes: Spinal cordotomy, osteotomy

4. Body Part
PMetatarsal, Left

Includes: Fibular sesamoid; Tibial sesamoid

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 · Foot Procedures

ICD-9-CM equivalent

Converter →
  • 77.38Other division of bone, tarsals and metatarsalsapproximate

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 0Q8P4ZZ

Is 0Q8P4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0Q8P4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0Q8P4ZZ an O.R. procedure?

Yes. 0Q8P4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0Q8P4ZZ group to?

Depending on the principal diagnosis, 0Q8P4ZZ can group to MS-DRG 503, MS-DRG 504, MS-DRG 505, MS-DRG 628, MS-DRG 629 and MS-DRG 630.

What is the ICD-9 procedure code for 0Q8P4ZZ?

The CMS GEMs map 0Q8P4ZZ to ICD-9-CM 77.38 (Other division of bone, tarsals and metatarsals).