0RGR47ZFusion of Left Carpal Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
- Billable / Specific Code
0RGR47Z is a billable ICD-10-PCS procedure code for Fusion of Left Carpal Joint 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 Fusion involves joining together portions of an articular body part rendering the articular body part immobile. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Joint fusion (excluding spine).
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 | R | Upper Joints |
| 3 | Operation | G | Fusion |
| 4 | BodyPart | R | Carpal Joint, 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 fusion of the left carpal, open the FY 2027 ICD-10-PCS Alphabetic Index at Fusion, then the subterms Carpal, Left. The index leads to table 0RG, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 0RGR47Z.
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 0RGR47Z
Is 0RGR47Z a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Fusion of Left Carpal Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2026 through September 30, 2027.
What do the characters in 0RGR47Z 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 G is the Operation (Fusion); the 4th character R is the BodyPart (Carpal Joint, 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 0RGR47Z group to?
On an inpatient stay, Fusion of Left Carpal Joint 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 0RGR47Z?
Under the General Equivalence Mappings, Fusion of Left Carpal Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 81.26 (Metacarpocarpal fusion). The mapping is approximate, so confirm it fits the documentation.
