ICD-10-PCS 2027 procedure code
0RBC4ZZExcision of Right Temporomandibular Joint, Percutaneous Endoscopic Approach
Short description: Excision of R Temporomandib Jt, 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 0RBC4ZZ
0RBC4ZZ is the ICD-10-PCS code for a excision procedure on the right temporomandibular joint using a percutaneous endoscopic approach. In ICD-10-PCS, excision means cutting out or off, without replacement, a portion of a body part.
In plain terms, this corresponds to local excision or destruction of lesion of facial bone, the ICD-9-CM procedure title it maps to (76.2).
For a different body part, codes include 0RB04ZZ (occipital-cervical joint), 0RB14ZZ (cervical vertebral joint), 0RB34ZZ (cervical vertebral disc), 0RB44ZZ (cervicothoracic vertebral joint), 0RB54ZZ (cervicothoracic vertebral disc), 0RB64ZZ (thoracic vertebral joint) and 22 more.
The same procedure with a different approach is coded 0RBC0ZZ (open) and 0RBC3ZZ (percutaneous).
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
- BExcision
Cutting out or off, without replacement, a portion of a body part
The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies
Includes: Partial nephrectomy, liver biopsy
- 4. Body Part
- CTemporomandibular Joint, Right
- 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
Different body part
- 0RB04ZZOccipital-cervical Joint
- 0RB14ZZCervical Vertebral Joint
- 0RB34ZZCervical Vertebral Disc
- 0RB44ZZCervicothoracic Vertebral Joint
- 0RB54ZZCervicothoracic Vertebral Disc
- 0RB64ZZThoracic Vertebral Joint
- 0RB94ZZThoracic Vertebral Disc
- 0RBA4ZZThoracolumbar Vertebral Joint
- 0RBB4ZZThoracolumbar Vertebral Disc
- 0RBD4ZZTemporomandibular Joint, Left
- 0RBE4ZZSternoclavicular Joint, Right
- 0RBF4ZZSternoclavicular Joint, Left
Different approach
Different qualifier
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
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 0RBC4ZZ
Is 0RBC4ZZ a valid ICD-10-PCS code for 2027?
- Yes. 0RBC4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RBC4ZZ an O.R. procedure?
- Yes. 0RBC4ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RBC4ZZ group to?
- Depending on the principal diagnosis, 0RBC4ZZ 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 0RBC4ZZ?
- The CMS GEMs map 0RBC4ZZ to ICD-9-CM 76.2 (Local excision or destruction of lesion of facial bone).