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ICD 10 Code 0RPQ45Z

Removal of External Fixation Device from Right Carpal Joint, Percutaneous Endoscopic Approach
“Removal of Ext Fix from R Carpal Jt, Perc Endo Approach” for short

0RPQ45Z is a valid billable ICD-10 procedure code for Removal of External Fixation Device from Right Carpal Joint, Percutaneous Endoscopic 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.

Removal involves:
Taking out or off a device from a body part. If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL

Percutaneous Endoscopic approach involves:
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

Removal includes:

  • Drainage tube removal, cardiac pacemaker removal

Carpal Joint, Right body part includes:

  • Intercarpal joint
  • Midcarpal joint
MS-DRG - Medicare Severity-Diagnosis Related Group
  • MDC 08 Diseases & Disorders of the Musculoskeletal System & Connective Tissue
    Major Thumb or Joint Procedures
    • DRG 506 - MAJOR THUMB OR JOINT PROCEDURES
  • MDC 21 Injuries, Poisonings & Toxic Effects of Drugs
    Hand Procedures for Injuries
    • DRG 906 - HAND PROCEDURES FOR INJURIES

ICD-10-PCS code structure for 0RPQ45Z — See Table View

1: Section 0 Medical and Surgical
2: Body System R Upper Joints
3: Root Operation P Removal
4: Body Part Q Carpal Joint, Right
5: Approach 4 Percutaneous Endoscopic
6: Device 5 External 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.