ICD-10-PCS 2027 procedure code
0R5W0ZZDestruction of Right Finger Phalangeal Joint, Open 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 0R5W0ZZ
0R5W0ZZ is the ICD-10-PCS code for a destruction procedure on the right finger phalangeal joint using an open 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, hand and finger, the ICD-9-CM procedure titles it maps to (80.80 and 80.84).
For a different body part, codes include 0R500ZZ (occipital-cervical joint), 0R510ZZ (cervical vertebral joint), 0R530ZZ (cervical vertebral disc), 0R540ZZ (cervicothoracic vertebral joint), 0R550ZZ (cervicothoracic vertebral disc), 0R560ZZ (thoracic vertebral joint) and 22 more.
The same procedure with a different approach is coded 0R5W3ZZ (percutaneous) and 0R5W4ZZ (percutaneous endoscopic).
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
- 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
- WFinger Phalangeal Joint, Right
- 5. Approach
- 0Open
Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure
- 6. Device
- ZNo Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0R500ZZOccipital-cervical Joint
- 0R510ZZCervical Vertebral Joint
- 0R530ZZCervical Vertebral Disc
- 0R540ZZCervicothoracic Vertebral Joint
- 0R550ZZCervicothoracic Vertebral Disc
- 0R560ZZThoracic Vertebral Joint
- 0R590ZZThoracic Vertebral Disc
- 0R5A0ZZThoracolumbar Vertebral Joint
- 0R5B0ZZThoracolumbar Vertebral Disc
- 0R5C0ZZTemporomandibular Joint, Right
- 0R5D0ZZTemporomandibular Joint, Left
- 0R5E0ZZSternoclavicular Joint, Right
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 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
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →- 80.80Other local excision or destruction of lesion of joint, unspecified siteapproximate
- 80.84Other local excision or destruction of lesion of joint, hand and fingerapproximate
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 0R5W0ZZ
Is 0R5W0ZZ a valid ICD-10-PCS code for 2027?
- Yes. 0R5W0ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0R5W0ZZ an O.R. procedure?
- Yes. 0R5W0ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0R5W0ZZ group to?
- Depending on the principal diagnosis, 0R5W0ZZ 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 0R5W0ZZ?
- The CMS GEMs map 0R5W0ZZ to ICD-9-CM 80.80 (Other local excision or destruction of lesion of joint, unspecified site) and 80.84 (Other local excision or destruction of lesion of joint, hand and finger).