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ICD-10-PCS 2027 procedure code

0RNV4ZZRelease Left Metacarpophalangeal Joint, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Release Left Metacarpophalangeal Joint, 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 0RNV4ZZ

0RNV4ZZ is the ICD-10-PCS code for a release procedure on the left metacarpophalangeal joint using a percutaneous endoscopic approach. In ICD-10-PCS, release means freeing a body part from an abnormal physical constraint by cutting or by the use of force.

In plain terms, this corresponds to division of joint capsule, ligament, or cartilage, hand and finger, the ICD-9-CM procedure title it maps to (80.44).

For a different body part, codes include 0RN04ZZ (occipital-cervical joint), 0RN14ZZ (cervical vertebral joint), 0RN34ZZ (cervical vertebral disc), 0RN44ZZ (cervicothoracic vertebral joint), 0RN54ZZ (cervicothoracic vertebral disc), 0RN64ZZ (thoracic vertebral joint) and 22 more.

The same procedure with a different approach is coded 0RNV0ZZ (open), 0RNV3ZZ (percutaneous) and 0RNVXZZ (external).

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
NRelease

Freeing a body part from an abnormal physical constraint by cutting or by the use of force

Some of the restraining tissue may be taken out but none of the body part is taken out

Includes: Adhesiolysis, carpal tunnel release

4. Body Part
VMetacarpophalangeal Joint, Left
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

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

ICD-9-CM equivalent

Converter →
  • 80.44Division of joint capsule, ligament, or cartilage, 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 0RNV4ZZ

Is 0RNV4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0RNV4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RNV4ZZ an O.R. procedure?

Yes. 0RNV4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RNV4ZZ group to?

Depending on the principal diagnosis, 0RNV4ZZ 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 0RNV4ZZ?

The CMS GEMs map 0RNV4ZZ to ICD-9-CM 80.44 (Division of joint capsule, ligament, or cartilage, hand and finger).