0PBR4ZZExcision of Right Thumb Phalanx, Percutaneous Endoscopic Approach

  • Billable / Specific Code
ICD-10-PCS 0PBR4ZZ
CMS Source: FY 2027 ICD-10-PCS dataset. Effective Oct 1, 2026 – Sep 30, 2027.FacebookXLinkedInPrint

0PBR4ZZ is a billable ICD-10-PCS procedure code for Excision of Right Thumb Phalanx, Percutaneous Endoscopic Approach. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to 15 MS-DRGs. The root operation Excision involves cutting out or off, without replacement, a portion of a body part. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Bone excision.

Code Identity

ICD-10-PCS Code
0PBR4ZZ
Billable Status
Yes — Valid for Submission
Code Describes
Excision of Right Thumb Phalanx, Percutaneous Endoscopic Approach
Short Description
Excision of Right Thumb Phalanx, Perc Endo Approach
Parent Code

PCS Table Breakdown

Each ICD-10-PCS code is built from seven characters, each an axis of the procedure. Hover or tap the icons for the official CMS definitions.

PositionDesignationValueMeaning
1Section0Medical and Surgical
2Body SystemPUpper Bones
3OperationBExcision
4BodyPartRThumb Phalanx, Right
5Approach4Percutaneous Endoscopic
6DeviceZNo Device
7QualifierZNo Qualifier

In the ICD-10-PCS Alphabetic Index

These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:

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Excision, Phalanx, Thumb, Right
Leads to this code's table

To code excision of the right thumb phalanx, open the FY 2027 ICD-10-PCS Alphabetic Index at Excision, then the subterms Phalanx, Thumb, Right. The index leads to table 0PB, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 0PBR4ZZ.

Browse the full ICD-10-PCS Alphabetic Index →

Clinical Classification (CCSR)

AHRQ groups this procedure code into these clinical categories.

MST018
Bone excision
Clinical domain: Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for this code under the General Equivalence Mappings.

77.60
Local excision of lesion or tissue of bone, unspecified site
Approximate match.
77.69
Local excision of lesion or tissue of bone, other bones
Approximate match.
77.89
Other partial ostectomy, other bones
Approximate match.

Similar Procedure Codes

Questions About 0PBR4ZZ

Is 0PBR4ZZ a billable code?

Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Excision of Right Thumb Phalanx, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2026 through September 30, 2027.

What do the characters in 0PBR4ZZ mean?

The code breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character P is the Body System (Upper Bones); the 3rd character B is the Operation (Excision); the 4th character R is the BodyPart (Thumb Phalanx, Right); the 5th character 4 is the Approach (Percutaneous Endoscopic); the 6th character Z is the Device (No Device); the 7th character Z is the Qualifier (No Qualifier).

What MS-DRG does 0PBR4ZZ group to?

On an inpatient stay, Excision of Right Thumb Phalanx, Percutaneous Endoscopic Approach maps to MS-DRGs 515, 516, 517, 579, 580, 581, 628, 629, 630, 907, 908, 909, 957, 958, 959, with relative weights from 1.3715 to 7.5502. The MS-DRG sets the fixed Medicare payment for the stay.

What is the ICD-9-PCS equivalent of 0PBR4ZZ?

Under the General Equivalence Mappings, Excision of Right Thumb Phalanx, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 77.60 (Local excision of lesion or tissue of bone, unspecified site), 77.69 (Local excision of lesion or tissue of bone, other bones), and 77.89 (Other partial ostectomy, other bones). The mapping is approximate, so confirm it fits the documentation.