ICD-10-PCS 2027 procedure code
0R5D3ZZDestruction of Left Temporomandibular Joint, Percutaneous Approach
Short description: Destruction of Left Temporomandibular Joint, Perc 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 0R5D3ZZ
0R5D3ZZ is the ICD-10-PCS code for a destruction procedure on the left temporomandibular joint using a percutaneous approach. In ICD-10-PCS, destruction means physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent.
In plain terms, this corresponds to local excision or destruction of lesion of facial bone and other local excision or destruction of lesion of joint, unspecified site, the ICD-9-CM procedure titles it maps to (76.2 and 80.80).
For a different body part, codes include 0R503ZZ (occipital-cervical joint), 0R513ZZ (cervical vertebral joint), 0R533ZZ (cervical vertebral disc), 0R543ZZ (cervicothoracic vertebral joint), 0R553ZZ (cervicothoracic vertebral disc), 0R563ZZ (thoracic vertebral joint) and 22 more.
The same procedure with a different approach is coded 0R5D0ZZ (open) and 0R5D4ZZ (percutaneous endoscopic).
It is an operating-room procedure in the MS-DRG logic for DRG 143 (Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC), DRG 144 (Other Ear, Nose, Mouth and Throat O.R. Procedures with CC), DRG 145 (Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC), DRG 495 (Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with MCC), DRG 496 (Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with CC) and DRG 497 (Local Excision and Removal of Internal Fixation Devices Except Hip and Femur without CC/MCC), under the surgical categories “Other Ear, Nose, Mouth and Throat O.R. Procedures”, “Local Excision and Removal of Internal Fixation Devices Except Hip and Femur”, “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
- RUpper Joints
- 3. Operation
- 5Destruction
Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent
None of the body part is physically taken out
Includes: Fulguration of rectal polyp, cautery of skin lesion
- 4. Body Part
- DTemporomandibular Joint, Left
- 5. Approach
- 3Percutaneous
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure
- 6. Device
- ZNo Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0R503ZZOccipital-cervical Joint
- 0R513ZZCervical Vertebral Joint
- 0R533ZZCervical Vertebral Disc
- 0R543ZZCervicothoracic Vertebral Joint
- 0R553ZZCervicothoracic Vertebral Disc
- 0R563ZZThoracic Vertebral Joint
- 0R593ZZThoracic Vertebral Disc
- 0R5A3ZZThoracolumbar Vertebral Joint
- 0R5B3ZZThoracolumbar Vertebral Disc
- 0R5C3ZZTemporomandibular Joint, Right
- 0R5E3ZZSternoclavicular Joint, Right
- 0R5F3ZZSternoclavicular Joint, Left
Different approach
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 03 · Diseases and Disorders of the Ear, Nose, Mouth and Throat · Other Ear, Nose, Mouth and Throat O.R. Procedures
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Local Excision and Removal of Internal Fixation Devices Except Hip and Femur
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →- 76.2Local excision or destruction of lesion of facial boneapproximate
- 80.80Other local excision or destruction of lesion of joint, unspecified siteapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 0R5D3ZZ
Is 0R5D3ZZ a valid ICD-10-PCS code for 2027?
- Yes. 0R5D3ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0R5D3ZZ an O.R. procedure?
- Yes. 0R5D3ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0R5D3ZZ group to?
- Depending on the principal diagnosis, 0R5D3ZZ can group to MS-DRG 143, MS-DRG 144, MS-DRG 145, MS-DRG 495, MS-DRG 496 and MS-DRG 497.
What is the ICD-9 procedure code for 0R5D3ZZ?
- The CMS GEMs map 0R5D3ZZ to ICD-9-CM 76.2 (Local excision or destruction of lesion of facial bone) and 80.80 (Other local excision or destruction of lesion of joint, unspecified site).