0RWV04ZRevision of Internal Fixation Device in Left Metacarpophalangeal Joint, Open Approach
- Billable / Specific Code
0RWV04Z is a billable ICD-10-PCS procedure code for Revision of Internal Fixation Device in Left Metacarpophalangeal Joint, Open Approach. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRGs 506, 906. The root operation Revision involves correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device. 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 | W | Revision |
| 4 | BodyPart | V | Metacarpophalangeal Joint, Left |
| 5 | Approach | 0 | Open |
| 6 | Device | 4 | Internal Fixation Device |
| 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:
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 0RWV04Z
Is 0RWV04Z a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Revision of Internal Fixation Device in Left Metacarpophalangeal Joint, Open Approach on inpatient claims from October 1, 2026 through September 30, 2027.
What do the characters in 0RWV04Z 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 W is the Operation (Revision); the 4th character V is the BodyPart (Metacarpophalangeal Joint, Left); the 5th character 0 is the Approach (Open); the 6th character 4 is the Device (Internal Fixation Device); the 7th character Z is the Qualifier (No Qualifier).
What MS-DRG does 0RWV04Z group to?
On an inpatient stay, Revision of Internal Fixation Device in Left Metacarpophalangeal Joint, Open Approach maps to MS-DRGs 506, 906, with relative weights from 1.2060 to 1.7649. The MS-DRG sets the fixed Medicare payment for the stay.
What is the ICD-9-PCS equivalent of 0RWV04Z?
Under the General Equivalence Mappings, Revision of Internal Fixation Device in Left Metacarpophalangeal Joint, Open Approach crosswalks to ICD-9-PCS 80.14 (Other arthrotomy, hand and finger). The mapping is approximate, so confirm it fits the documentation.
