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ICD-10-PCS 2027 procedure code

0RQV0ZZRepair Left Metacarpophalangeal Joint, Open Approach

✓ Valid for 2027O.R. procedure

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 0RQV0ZZ

0RQV0ZZ is the ICD-10-PCS code for a repair procedure on the left metacarpophalangeal joint using an open 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 arthroplasty of metacarpophalangeal and interphalangeal joint without implant, the ICD-9-CM procedure title it maps to (81.72).

For a different body part, codes include 0RQ00ZZ (occipital-cervical joint), 0RQ10ZZ (cervical vertebral joint), 0RQ30ZZ (cervical vertebral disc), 0RQ40ZZ (cervicothoracic vertebral joint), 0RQ50ZZ (cervicothoracic vertebral disc), 0RQ60ZZ (thoracic vertebral joint) and 22 more.

The same procedure with a different approach is coded 0RQV3ZZ (percutaneous), 0RQV4ZZ (percutaneous endoscopic) and 0RQVXZZ (external).

It is an operating-room procedure in the MS-DRG logic for DRG 040 (Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC), DRG 041 (Peripheral, Cranial Nerve and Other Nervous System Procedures with CC or Peripheral Neurostimulator), DRG 042 (Peripheral, Cranial Nerve and Other Nervous System Procedures without CC/MCC), DRG 506 (Major Thumb or Joint Procedures), DRG 906 (Hand Procedures for Injuries) and DRG 957 (Other O.R. Procedures for Multiple Significant Trauma with MCC), under the surgical categories “Peripheral, Cranial Nerve and Other Nervous System Procedures”, “Major Thumb or Joint Procedures”, “Hand 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
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
VMetacarpophalangeal Joint, Left
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

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 →
  • 81.72Arthroplasty of metacarpophalangeal and interphalangeal joint without implantapproximate

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 0RQV0ZZ

Is 0RQV0ZZ a valid ICD-10-PCS code for 2027?

Yes. 0RQV0ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RQV0ZZ an O.R. procedure?

Yes. 0RQV0ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RQV0ZZ group to?

Depending on the principal diagnosis, 0RQV0ZZ can group to MS-DRG 040, MS-DRG 041, MS-DRG 042, MS-DRG 506, MS-DRG 906 and MS-DRG 957.

What is the ICD-9 procedure code for 0RQV0ZZ?

The CMS GEMs map 0RQV0ZZ to ICD-9-CM 81.72 (Arthroplasty of metacarpophalangeal and interphalangeal joint without implant).