ICD-10-PCS 2027 procedure code
0RW0X4ZRevision of Internal Fixation Device in Occipital-cervical Joint, External Approach
Short description: Revision of Int Fix in Occip Jt, 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 0RW0X4Z
0RW0X4Z is the ICD-10-PCS code for a revision procedure on the occipital-cervical joint using an external approach with internal fixation device. 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 0RW1X4Z (cervical vertebral joint), 0RW4X4Z (cervicothoracic vertebral joint), 0RW6X4Z (thoracic vertebral joint), 0RWAX4Z (thoracolumbar vertebral joint), 0RWCX4Z (right temporomandibular joint), 0RWDX4Z (left temporomandibular joint) and 18 more.
The same procedure with a different approach is coded 0RW004Z (open), 0RW034Z (percutaneous) and 0RW044Z (percutaneous endoscopic).
With a different device, use 0RW0X0Z (drainage device), 0RW0X3Z (infusion device), 0RW0X7Z (autologous tissue substitute), 0RW0X8Z (spacer), 0RW0XAZ (interbody fusion device), 0RW0XJZ (synthetic substitute) and 1 more.
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
- RUpper Joints
- 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
- 0Occipital-cervical Joint
- 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
- 4Internal Fixation Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0RW1X4ZCervical Vertebral Joint
- 0RW4X4ZCervicothoracic Vertebral Joint
- 0RW6X4ZThoracic Vertebral Joint
- 0RWAX4ZThoracolumbar Vertebral Joint
- 0RWCX4ZTemporomandibular Joint, Right
- 0RWDX4ZTemporomandibular Joint, Left
- 0RWEX4ZSternoclavicular Joint, Right
- 0RWFX4ZSternoclavicular Joint, Left
- 0RWGX4ZAcromioclavicular Joint, Right
- 0RWHX4ZAcromioclavicular Joint, Left
- 0RWJX4ZShoulder Joint, Right
- 0RWKX4ZShoulder Joint, Left
Different approach
ICD-9-CM equivalent
Converter →- 99.99Other miscellaneous proceduresapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 0RW0X4Z
Is 0RW0X4Z a valid ICD-10-PCS code for 2027?
- Yes. 0RW0X4Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
What is the ICD-9 procedure code for 0RW0X4Z?
- The CMS GEMs map 0RW0X4Z to ICD-9-CM 99.99 (Other miscellaneous procedures).