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ICD-10-PCS 2027 procedure code

0NPWX5ZRemoval of External Fixation Device from Facial Bone, External Approach

✓ Valid for 2027

Short description: Removal of Ext Fix from Facial Bone, Extern Approach

Code last changed in FY2025 (effective October 1, 2024). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0NPWX5Z

0NPWX5Z is the ICD-10-PCS code for a removal procedure on the facial bone using an external approach with external fixation device. In ICD-10-PCS, removal means taking out or off a device from a body part.

For a different body part, codes include 0NP0X5Z (skull) and 0NPBX5Z (nasal bone).

The same procedure with a different approach is coded 0NPW05Z (open), 0NPW35Z (percutaneous) and 0NPW45Z (percutaneous endoscopic).

With a different device, use 0NPWX0Z (drainage device), 0NPWX4Z (internal fixation device) and 0NPWXMZ (bone growth stimulator).

It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.

It was added in FY2025, effective October 1, 2024.

What each character means

1. Section
0Medical and Surgical
2. Body System
NHead and Facial Bones
3. Operation
PRemoval

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

Includes: Drainage tube removal, cardiac pacemaker removal

4. Body Part
WFacial Bone
5. Approach
XExternal

Procedures performed directly on the skin or mucous membrane and procedures performed indirectly by the application of external force through the skin or mucous membrane

6. Device
5External Fixation Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2025 (effective 10/1/2024): Added
  • No changes since FY2025.

Common questions about 0NPWX5Z

Is 0NPWX5Z a valid ICD-10-PCS code for 2027?

Yes. 0NPWX5Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.