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ICD-10-PCS 2027 procedure code

0W0F4ZZAlteration of Abdominal Wall, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Alteration of Abdominal Wall, Perc Endo 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 0W0F4ZZ

0W0F4ZZ is the ICD-10-PCS code for a alteration procedure on the abdominal wall using a percutaneous endoscopic approach. In ICD-10-PCS, alteration means modifying the anatomic structure of a body part without affecting the function of the body part.

In plain terms, this corresponds to other repair and reconstruction of skin and subcutaneous tissue, the ICD-9-CM procedure title it maps to (86.89).

For a different body part, codes include 0W004ZZ (head), 0W024ZZ (face), 0W044ZZ (upper jaw), 0W054ZZ (lower jaw), 0W064ZZ (neck), 0W084ZZ (chest wall) and 4 more.

The same procedure with a different approach is coded 0W0F0ZZ (open) and 0W0F3ZZ (percutaneous).

With a different device, use 0W0F47Z (autologous tissue substitute), 0W0F4JZ (synthetic substitute) and 0W0F4KZ (nonautologous tissue substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 579 (Other Skin, Subcutaneous Tissue and Breast Procedures with MCC), DRG 580 (Other Skin, Subcutaneous Tissue and Breast Procedures with CC), DRG 581 (Other Skin, Subcutaneous Tissue and Breast Procedures without CC/MCC), DRG 619 (O.R. Procedures for Obesity with MCC), DRG 620 (O.R. Procedures for Obesity with CC) and DRG 621 (O.R. Procedures for Obesity without CC/MCC), under the surgical categories “Other Skin, Subcutaneous Tissue and Breast Procedures”, “O.R. Procedures for Obesity” and “Other O.R. Procedures for Injuries”.

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
WAnatomical Regions, General
3. Operation
0Alteration

Modifying the anatomic structure of a body part without affecting the function of the body part

Principal purpose is to improve appearance

Includes: Face lift, breast augmentation

4. Body Part
FAbdominal Wall
5. Approach
4Percutaneous Endoscopic

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

6. Device
ZNo Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

MDC 10 · Endocrine, Nutritional and Metabolic Diseases and Disorders · O.R. Procedures for Obesity

ICD-9-CM equivalent

Converter →
  • 86.89Other repair and reconstruction of skin and subcutaneous tissueapproximate

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 0W0F4ZZ

Is 0W0F4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0W0F4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0W0F4ZZ an O.R. procedure?

Yes. 0W0F4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0W0F4ZZ group to?

Depending on the principal diagnosis, 0W0F4ZZ can group to MS-DRG 579, MS-DRG 580, MS-DRG 581, MS-DRG 619, MS-DRG 620 and MS-DRG 621.

What is the ICD-9 procedure code for 0W0F4ZZ?

The CMS GEMs map 0W0F4ZZ to ICD-9-CM 86.89 (Other repair and reconstruction of skin and subcutaneous tissue).