0R5L4ZZDestruction of Right Elbow Joint, Percutaneous Endoscopic Approach

0R5L4ZZ is the ICD-10-PCS code for a destruction procedure on the right elbow joint using a percutaneous endoscopic 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 other local excision or destruction of lesion of joint, unspecified site and other local excision or destruction of lesion of joint, elbow, the ICD-9-CM procedure titles it maps to (80.80 and 80.82).

For a different body part, codes include 0R504ZZ (occipital-cervical joint), 0R514ZZ (cervical vertebral joint), 0R534ZZ (cervical vertebral disc), 0R544ZZ (cervicothoracic vertebral joint), 0R554ZZ (cervicothoracic vertebral disc), 0R564ZZ (thoracic vertebral joint) and 22 more.

The same procedure with a different approach is coded 0R5L0ZZ (open) and 0R5L3ZZ (percutaneous).

It is an operating-room procedure in the MS-DRG logic for 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), DRG 497 (Local Excision and Removal of Internal Fixation Devices Except Hip and Femur 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 “Local Excision and Removal of Internal Fixation Devices Except Hip and Femur”, “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.