0PUQ47ZSupplement Left Metacarpal with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
- Billable / Specific Code
0PUQ47Z is a billable ICD-10-PCS procedure code for Supplement Left Metacarpal with Autologous Tissue Substitute, Percutaneous Endoscopic Approach. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to 6 MS-DRGs. The root operation Supplement involves putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Musculoskeletal device procedures, NEC.
Code Identity
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.
| Position | Designation | Value | Meaning |
|---|---|---|---|
| 1 | Section | 0 | Medical and Surgical |
| 2 | Body System | P | Upper Bones |
| 3 | Operation | U | Supplement |
| 4 | BodyPart | Q | Metacarpal, Left |
| 5 | Approach | 4 | Percutaneous Endoscopic |
| 6 | Device | 7 | Autologous Tissue Substitute |
| 7 | Qualifier | Z | No Qualifier |
In the ICD-10-PCS Alphabetic Index
These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:
To code supplement of the left metacarpal, open the FY 2027 ICD-10-PCS Alphabetic Index at Supplement, then the subterms Metacarpal, Left. The index leads to table 0PU, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 0PUQ47Z.
Clinical Classification (CCSR)
AHRQ groups this procedure code into these clinical categories.
Convert to ICD-9-PCS
Closest ICD-9-PCS equivalents for this code under the General Equivalence Mappings.
Similar Procedure Codes
Questions About 0PUQ47Z
Is 0PUQ47Z a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Supplement Left Metacarpal with Autologous Tissue Substitute, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2026 through September 30, 2027.
What do the characters in 0PUQ47Z 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 U is the Operation (Supplement); the 4th character Q is the BodyPart (Metacarpal, Left); the 5th character 4 is the Approach (Percutaneous Endoscopic); the 6th character 7 is the Device (Autologous Tissue Substitute); the 7th character Z is the Qualifier (No Qualifier).
What MS-DRG does 0PUQ47Z group to?
On an inpatient stay, Supplement Left Metacarpal with Autologous Tissue Substitute, Percutaneous Endoscopic Approach maps to MS-DRGs 513, 514, 906, 957, 958, 959, with relative weights from 1.0197 to 7.5502. The MS-DRG sets the fixed Medicare payment for the stay.
What is the ICD-9-PCS equivalent of 0PUQ47Z?
Under the General Equivalence Mappings, Supplement Left Metacarpal with Autologous Tissue Substitute, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 78.04 (Bone graft, carpals and metacarpals). The mapping is approximate, so confirm it fits the documentation.
