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ICD-10-PCS 2027 procedure code

0NPW05ZRemoval of External Fixation Device from Facial Bone, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Ext Fix from Facial Bone, Open 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 0NPW05Z

0NPW05Z is the ICD-10-PCS code for a removal procedure on the facial bone using an open 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 0NP005Z (skull) and 0NPB05Z (nasal bone).

The same procedure with a different approach is coded 0NPW35Z (percutaneous), 0NPW45Z (percutaneous endoscopic) and 0NPWX5Z (external).

With a different device, use 0NPW00Z (drainage device), 0NPW04Z (internal fixation device), 0NPW07Z (autologous tissue substitute), 0NPW0JZ (synthetic substitute), 0NPW0KZ (nonautologous tissue substitute) and 0NPW0MZ (bone growth stimulator).

It is an operating-room procedure in the MS-DRG logic for DRG 023 (Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Antineoplastic Implant or Epilepsy with Neurostimulator), DRG 024 (Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCC), DRG 025 (Craniotomy and Endovascular Intracranial Procedures with MCC), DRG 026 (Craniotomy and Endovascular Intracranial Procedures with CC) and DRG 027 (Craniotomy and Endovascular Intracranial Procedures without CC/MCC), under the surgical categories “Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis” and “Craniotomy and endovascular intracranial procedures”.

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
0Open

Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

6. Device
5External Fixation 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.

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 0NPW05Z

Is 0NPW05Z a valid ICD-10-PCS code for 2027?

Yes. 0NPW05Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0NPW05Z an O.R. procedure?

Yes. 0NPW05Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0NPW05Z group to?

Depending on the principal diagnosis, 0NPW05Z can group to MS-DRG 023, MS-DRG 024, MS-DRG 025, MS-DRG 026 and MS-DRG 027.