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ICD 10 Code 0RGV04Z

Fusion of Left Metacarpophalangeal Joint with Internal Fixation Device, Open Approach
“Fusion of L Metacarpophal Jt with Int Fix, Open Approach” for short

0RGV04Z is a valid billable ICD-10 procedure code for Fusion of Left Metacarpophalangeal Joint with Internal Fixation Device, Open Approach. It is found in the 2025 version of the ICD-10 Procedure Coding System (PCS) and can be used in all HIPAA-covered transactions from Oct 01, 2024 - Sep 30, 2025.

Fusion involves:
Joining together portions of an articular body part rendering the articular body part immobile. The body part is joined together by fixation device, bone graft, or other means

Open approach involves:
Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

Fusion includes:

  • Spinal fusion, ankle arthrodesis
MS-DRG - Medicare Severity-Diagnosis Related Group
  • MDC 08 Diseases & Disorders of the Musculoskeletal System & Connective Tissue
    Hand or Wrist Procedures, Except Major Thumb or Joint Procedures
    • DRG 513 - HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC
    • DRG 514 - HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC
  • MDC 21 Injuries, Poisonings & Toxic Effects of Drugs
    Hand Procedures for Injuries
    • DRG 906 - HAND PROCEDURES FOR INJURIES
  • MDC 24 Multiple Significant Trauma
    Other Procedures for Multiple Significant Trauma
    • DRG 957 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC
    • DRG 958 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC
    • DRG 959 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC

ICD-10-PCS code structure for 0RGV04Z — See Table View

1: Section 0 Medical and Surgical
2: Body System R Upper Joints
3: Root Operation G Fusion
4: Body Part V Metacarpophalangeal Joint, Left
5: Approach 0 Open
6: Device 4 Internal Fixation Device
7: Qualifier Z No Qualifier

See also

  • The ICD-10-PCS Index of common procedure terms.
  • Medical and Surgical terms in the ICD-10-PCS Definitions table. These definitions may also provide additional explanation and/or examples within this section.
  • The ICD-10-PCS Device Aggregation Table containing entries that correlate a specific ICD-10-PCS device value with a general device value to be used in tables containing only general device values.