0RBQ4ZZExcision of Right Carpal Joint, Percutaneous Endoscopic Approach

  • Billable / Specific Code
ICD-10-PCS 0RBQ4ZZ
CMS Source: FY 2027 ICD-10-PCS dataset. Effective Oct 1, 2026 – Sep 30, 2027.FacebookXLinkedInPrint

0RBQ4ZZ is a billable ICD-10-PCS procedure code for Excision of Right Carpal Joint, 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 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 Joint tissue excision (excluding discectomy).

Code Identity

ICD-10-PCS Code
0RBQ4ZZ
Billable Status
Yes — Valid for Submission
Code Describes
Excision of Right Carpal Joint, Percutaneous Endoscopic Approach
Short Description
Excision of Right Carpal Joint, 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 SystemRUpper Joints
3OperationBExcision
4BodyPartQCarpal Joint, 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:

Leads to this code's table
Anatomy or device term that leads here
Anatomy or device term that leads here
Synovectomy, Upper joint
Leads to this code's table
Excision, Joint, Carpal, Right
Leads to this code's table

To code synovectomy of the upper joint, open the FY 2027 ICD-10-PCS Alphabetic Index at Synovectomy, then the subterm Upper joint. The index leads to table 0RB, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 0RBQ4ZZ.

Browse the full ICD-10-PCS Alphabetic Index →

Clinical Classification (CCSR)

AHRQ groups this procedure code into these clinical categories.

MST017
Joint tissue excision (excluding discectomy)
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.

80.74
Synovectomy, hand and finger
Approximate match.
80.94
Other excision of joint, hand and finger
Approximate match.

Similar Procedure Codes

Questions About 0RBQ4ZZ

Is 0RBQ4ZZ a billable code?

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

What do the characters in 0RBQ4ZZ mean?

The code breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character R is the Body System (Upper Joints); the 3rd character B is the Operation (Excision); the 4th character Q is the BodyPart (Carpal Joint, 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 0RBQ4ZZ group to?

On an inpatient stay, Excision of Right Carpal Joint, 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 0RBQ4ZZ?

Under the General Equivalence Mappings, Excision of Right Carpal Joint, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 80.74 (Synovectomy, hand and finger) and 80.94 (Other excision of joint, hand and finger). The mapping is approximate, so confirm it fits the documentation.