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ICD-10-PCS 2027 procedure code

0RHR34ZInsertion of Internal Fixation Device into Left Carpal Joint, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Short description: Insertion of Int Fix into L Carpal Jt, 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 0RHR34Z

0RHR34Z is the ICD-10-PCS code for a insertion procedure on the left carpal joint using a percutaneous approach with internal fixation device. In ICD-10-PCS, insertion means putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part.

In plain terms, this corresponds to other arthrotomy, hand and finger, the ICD-9-CM procedure title it maps to (80.14).

For a different body part, codes include 0RH034Z (occipital-cervical joint), 0RH134Z (cervical vertebral joint), 0RH434Z (cervicothoracic vertebral joint), 0RH634Z (thoracic vertebral joint), 0RHA34Z (thoracolumbar vertebral joint), 0RHC34Z (right temporomandibular joint) and 18 more.

The same procedure with a different approach is coded 0RHR04Z (open) and 0RHR44Z (percutaneous endoscopic).

With a different device, use 0RHR33Z (infusion device), 0RHR35Z (external fixation device) and 0RHR38Z (spacer).

It is an operating-room procedure in the MS-DRG logic for DRG 506 (Major Thumb or Joint Procedures) and DRG 906 (Hand Procedures for Injuries), under the surgical categories “Major Thumb or Joint Procedures” and “Hand Procedures for Injuries”.

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
HInsertion

Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part

Includes: Insertion of radioactive implant, insertion of central venous catheter

4. Body Part
RCarpal Joint, Left

Includes: Intercarpal joint; Midcarpal joint

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
4Internal Fixation 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 · Major Thumb or Joint Procedures

MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Hand Procedures for Injuries

ICD-9-CM equivalent

Converter →
  • 80.14Other arthrotomy, hand and fingerapproximate

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 0RHR34Z

Is 0RHR34Z a valid ICD-10-PCS code for 2027?

Yes. 0RHR34Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RHR34Z an O.R. procedure?

Yes. 0RHR34Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RHR34Z group to?

Depending on the principal diagnosis, 0RHR34Z can group to MS-DRG 506 and MS-DRG 906.

What is the ICD-9 procedure code for 0RHR34Z?

The CMS GEMs map 0RHR34Z to ICD-9-CM 80.14 (Other arthrotomy, hand and finger).