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ICD-10-PCS 2027 procedure code

0NPW45ZRemoval of External Fixation Device from Facial Bone, Percutaneous Endoscopic Approach

✓ Valid for 2027

Short description: Removal of Ext Fix from Facial Bone, Perc Endo 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 0NPW45Z

0NPW45Z is the ICD-10-PCS code for a removal procedure on the facial bone using a percutaneous endoscopic 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 0NP045Z (skull) and 0NPB45Z (nasal bone).

The same procedure with a different approach is coded 0NPW05Z (open), 0NPW35Z (percutaneous) and 0NPWX5Z (external).

With a different device, use 0NPW40Z (drainage device), 0NPW44Z (internal fixation device), 0NPW47Z (autologous tissue substitute), 0NPW4JZ (synthetic substitute), 0NPW4KZ (nonautologous tissue substitute) and 0NPW4MZ (bone growth stimulator).

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

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
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
5External Fixation Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

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 0NPW45Z

Is 0NPW45Z a valid ICD-10-PCS code for 2027?

Yes. 0NPW45Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.