0RGV33ZFusion of Left Metacarpophalangeal Joint with Sustained Compression Internal Fixation Device, Percutaneous Approach

  • Billable / Specific Code
ICD-10-PCS 0RGV33Z
CMS Source: FY 2027 ICD-10-PCS dataset. Effective Oct 1, 2026 – Sep 30, 2027.FacebookXLinkedInPrint

0RGV33Z is a billable ICD-10-PCS procedure code for Fusion of Left Metacarpophalangeal Joint with Sustained Compression Internal Fixation Device, Percutaneous 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

ICD-10-PCS Code
0RGV33Z
Billable Status
Yes — Valid for Submission
Code Describes
Fusion of Left Metacarpophalangeal Joint with Sustained Compression Internal Fixation Device, Percutaneous Approach
Short Description
Fusion L Metacarpophal Jt w Int Fix Sustn Comprs, Perc
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
3OperationGFusion
4BodyPartVMetacarpophalangeal Joint, Left
5Approach3Percutaneous
6Device3Internal Fixation Device, Sustained Compression
7QualifierZNo Qualifier

In the ICD-10-PCS Alphabetic Index

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

Fusion, Metacarpophalangeal, Left
Leads to this code's table

To code fusion of the left metacarpophalangeal, open the FY 2027 ICD-10-PCS Alphabetic Index at Fusion, then the subterms Metacarpophalangeal, Left. The index leads to table 0RG, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 0RGV33Z.

Browse the full ICD-10-PCS Alphabetic Index →

Clinical Classification (CCSR)

AHRQ groups this procedure code into these clinical categories.

MST014
Joint fusion (excluding spine)
Clinical domain: Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures

Code History

Replaces previously assigned code(s):
  • 0RGV34Z — Fusion of L Metacarpophal Jt with Int Fix, Perc Approach

Similar Procedure Codes

Questions About 0RGV33Z

Is 0RGV33Z a billable code?

Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Fusion of Left Metacarpophalangeal Joint with Sustained Compression Internal Fixation Device, Percutaneous Approach on inpatient claims from October 1, 2026 through September 30, 2027.

What do the characters in 0RGV33Z 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 V is the BodyPart (Metacarpophalangeal Joint, Left); the 5th character 3 is the Approach (Percutaneous); the 6th character 3 is the Device (Internal Fixation Device, Sustained Compression); the 7th character Z is the Qualifier (No Qualifier).

What MS-DRG does 0RGV33Z group to?

On an inpatient stay, Fusion of Left Metacarpophalangeal Joint with Sustained Compression Internal Fixation Device, Percutaneous 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.