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ICD-10-PCS 2027 procedure code

0CWY3JZRevision of Synthetic Substitute in Mouth and Throat, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Short description: Revision of Synth Sub in Mouth/Throat, Perc 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 0CWY3JZ

0CWY3JZ is the ICD-10-PCS code for a revision procedure on the mouth and throat using a percutaneous approach with synthetic 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 incision of mouth, unspecified structure, the ICD-9-CM procedure title it maps to (27.92).

For a different body part, codes include 0CWS3JZ (larynx).

The same procedure with a different approach is coded 0CWY0JZ (open), 0CWY7JZ (via natural or artificial opening), 0CWY8JZ (via natural or artificial opening endoscopic) and 0CWYXJZ (external).

With a different device, use 0CWY30Z (drainage device), 0CWY31Z (radioactive element), 0CWY37Z (autologous tissue substitute), 0CWY3DZ (intraluminal device), 0CWY3KZ (nonautologous tissue substitute) and 0CWY3YZ (other device).

It is an operating-room procedure in the MS-DRG logic for DRG 137 (Mouth Procedures with CC/MCC), DRG 138 (Mouth Procedures without CC/MCC), 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) and DRG 907 (Other O.R. Procedures for Injuries with MCC), under the surgical categories “Mouth Procedures”, “Other Skin, Subcutaneous Tissue and Breast Procedures”, “Other O.R. Procedures for Injuries” and 1 more.

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
CMouth and Throat
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
YMouth and Throat
5. Approach
3Percutaneous

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

6. Device
JSynthetic Substitute

Includes: AbioCor(R) Total Replacement Heart; AMPLATZER(R) Muscular VSD Occluder; Annuloplasty ring; Bard(R) Composix(R) (E/X)(LP) mesh; Bard(R) Composix(R) Kugel(R) patch; Bard(R) Dulex(tm) mesh; Bard(R) Ventralex(tm) hernia patch; Barricaid(R) Annular Closure Device (ACD); BRYAN(R) Cervical Disc System; Corvia IASD(R); Ex-PRESS(tm) mini glaucoma shunt; Flexible Composite Mesh; GORE(R) ACUSEAL Vascular Graft; GORE(R) CARDIOFORM Septal Occluder; GORE(R) DUALMESH(R); GORE(R) PROPATEN(R) Vascular Graft; GORE(R) VIATORR(R) TIPS Endoprosthesis; Holter valve ventricular shunt; IASD(R) (InterAtrial Shunt Device), Corvia; InterAtrial Shunt Device IASD(R), Corvia; LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System; MitraClip valve repair system; Nitinol framed polymer mesh; Open Pivot (mechanical) valve; Open Pivot Aortic Valve Graft (AVG); Partially absorbable mesh; PHYSIOMESH(tm) Flexible Composite Mesh; Polymethylmethacrylate (PMMA); Polypropylene mesh; PRESTIGE(R) Cervical Disc; PROCEED(tm) Ventral Patch; Prodisc-C; Prodisc-L; PROLENE Polypropylene Hernia System (PHS); Rebound HRD(R) (Hernia Repair Device); SynCardia Total Artificial Heart; Total artificial (replacement) heart; ULTRAPRO Hernia System (UHS); ULTRAPRO Partially Absorbable Lightweight Mesh; ULTRAPRO Plug; V-Wave Interatrial Shunt System; Ventrio(tm) Hernia Patch; Zimmer(R) NexGen(R) LPS Mobile Bearing Knee; Zimmer(R) NexGen(R) LPS-Flex Mobile Knee

7. Qualifier
ZNo Qualifier

Other versions of this procedure

Different body part

MS-DRG v44.0 grouping

All DRGs →

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

MDC 03 · Diseases and Disorders of the Ear, Nose, Mouth and Throat · Mouth Procedures

ICD-9-CM equivalent

Converter →
  • 27.92Incision of mouth, unspecified structureapproximate

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 0CWY3JZ

Is 0CWY3JZ a valid ICD-10-PCS code for 2027?

Yes. 0CWY3JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0CWY3JZ an O.R. procedure?

Yes. 0CWY3JZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0CWY3JZ group to?

Depending on the principal diagnosis, 0CWY3JZ can group to MS-DRG 137, MS-DRG 138, MS-DRG 579, MS-DRG 580, MS-DRG 581 and MS-DRG 907.

What is the ICD-9 procedure code for 0CWY3JZ?

The CMS GEMs map 0CWY3JZ to ICD-9-CM 27.92 (Incision of mouth, unspecified structure).