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ICD-10-PCS 2027 procedure code

0PWRXKZRevision of Nonautologous Tissue Substitute in Right Thumb Phalanx, External Approach

✓ Valid for 2027

Short description: Revision of Nonaut Sub in R Thumb Phalanx, Extern Approach

Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0PWRXKZ

0PWRXKZ is the ICD-10-PCS code for a revision procedure on the right thumb phalanx using an external approach with nonautologous tissue substitute. In ICD-10-PCS, revision means correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device.

In plain terms, this corresponds to other miscellaneous procedures, the ICD-9-CM procedure title it maps to (99.99).

For a different body part, codes include 0PW0XKZ (sternum), 0PW1XKZ (ribs, 1 to 2), 0PW2XKZ (ribs, 3 or more), 0PW3XKZ (cervical vertebra), 0PW4XKZ (thoracic vertebra), 0PW5XKZ (right scapula) and 20 more.

The same procedure with a different approach is coded 0PWR0KZ (open), 0PWR3KZ (percutaneous) and 0PWR4KZ (percutaneous endoscopic).

With a different device, use 0PWRX4Z (internal fixation device), 0PWRX5Z (external fixation device), 0PWRX7Z (autologous tissue substitute) and 0PWRXJZ (synthetic substitute).

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

It has been valid since ICD-10-PCS took effect on October 1, 2015.

What each character means

1. Section
0Medical and Surgical
2. Body System
PUpper Bones
3. Operation
WRevision

Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device

Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as a screw or pin

Includes: Adjustment of position of pacemaker lead, recementing of hip prosthesis

4. Body Part
RThumb Phalanx, Right
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
KNonautologous Tissue Substitute

Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft

7. Qualifier
ZNo Qualifier

Other versions of this procedure

ICD-9-CM equivalent

Converter →
  • 99.99Other miscellaneous proceduresapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

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
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 0PWRXKZ

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

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

What is the ICD-9 procedure code for 0PWRXKZ?

The CMS GEMs map 0PWRXKZ to ICD-9-CM 99.99 (Other miscellaneous procedures).