ICD-10-PCS 2027 procedure code
0RQ04ZZRepair Occipital-cervical Joint, Percutaneous Endoscopic Approach
Short description: Repair Occipital-cervical 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 0RQ04ZZ
0RQ04ZZ is the ICD-10-PCS code for a repair procedure on the occipital-cervical joint using a percutaneous endoscopic approach. In ICD-10-PCS, repair means restoring, to the extent possible, a body part to its normal anatomic structure and function.
In plain terms, this corresponds to other repair of joint, the ICD-9-CM procedure title it maps to (81.96).
For a different body part, codes include 0RQ14ZZ (cervical vertebral joint), 0RQ34ZZ (cervical vertebral disc), 0RQ44ZZ (cervicothoracic vertebral joint), 0RQ54ZZ (cervicothoracic vertebral disc), 0RQ64ZZ (thoracic vertebral joint), 0RQ94ZZ (thoracic vertebral disc) and 22 more.
The same procedure with a different approach is coded 0RQ00ZZ (open), 0RQ03ZZ (percutaneous) and 0RQ0XZZ (external).
It is an operating-room procedure in the MS-DRG logic for DRG 515 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC), DRG 516 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC) and DRG 517 (Other Musculoskeletal System and Connective Tissue O.R. Procedures without CC/MCC), under the surgical category “Other Musculoskeletal System and Connective Tissue O.R. Procedures”.
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
- QRepair
Restoring, to the extent possible, a body part to its normal anatomic structure and function
Used only when the method to accomplish the repair is not one of the other root operations
Includes: Colostomy takedown, suture of laceration
- 4. Body Part
- 0Occipital-cervical Joint
- 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
- 0RQ14ZZCervical Vertebral Joint
- 0RQ34ZZCervical Vertebral Disc
- 0RQ44ZZCervicothoracic Vertebral Joint
- 0RQ54ZZCervicothoracic Vertebral Disc
- 0RQ64ZZThoracic Vertebral Joint
- 0RQ94ZZThoracic Vertebral Disc
- 0RQA4ZZThoracolumbar Vertebral Joint
- 0RQB4ZZThoracolumbar Vertebral Disc
- 0RQC4ZZTemporomandibular Joint, Right
- 0RQD4ZZTemporomandibular Joint, Left
- 0RQE4ZZSternoclavicular Joint, Right
- 0RQF4ZZSternoclavicular Joint, Left
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 · Other Musculoskeletal System and Connective Tissue O.R. Procedures
ICD-9-CM equivalent
Converter →- 81.96Other repair of jointapproximate
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 0RQ04ZZ
Is 0RQ04ZZ a valid ICD-10-PCS code for 2027?
- Yes. 0RQ04ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RQ04ZZ an O.R. procedure?
- Yes. 0RQ04ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RQ04ZZ group to?
- Depending on the principal diagnosis, 0RQ04ZZ can group to MS-DRG 515, MS-DRG 516 and MS-DRG 517.
What is the ICD-9 procedure code for 0RQ04ZZ?
- The CMS GEMs map 0RQ04ZZ to ICD-9-CM 81.96 (Other repair of joint).