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ICD-10-PCS 2027 procedure code

0NPW47ZRemoval of Autologous Tissue Substitute from Facial Bone, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Autol Sub from Facial Bone, 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 0NPW47Z

0NPW47Z is the ICD-10-PCS code for a removal procedure on the facial bone using a percutaneous endoscopic approach with autologous tissue substitute. In ICD-10-PCS, removal means taking out or off a device from a body part.

In plain terms, this corresponds to other incision of facial bone, the ICD-9-CM procedure title it maps to (76.09).

For a different body part, codes include 0NP047Z (skull) and 0NPB47Z (nasal bone).

The same procedure with a different approach is coded 0NPW07Z (open) and 0NPW37Z (percutaneous).

With a different device, use 0NPW40Z (drainage device), 0NPW44Z (internal fixation device), 0NPW45Z (external fixation device), 0NPW4JZ (synthetic substitute), 0NPW4KZ (nonautologous tissue substitute) and 0NPW4MZ (bone growth stimulator).

It is an operating-room procedure in the MS-DRG logic for DRG 143 (Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC), DRG 144 (Other Ear, Nose, Mouth and Throat O.R. Procedures with CC), DRG 145 (Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC), DRG 495 (Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with MCC), DRG 496 (Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with CC) and DRG 497 (Local Excision and Removal of Internal Fixation Devices Except Hip and Femur without CC/MCC), under the surgical categories “Other Ear, Nose, Mouth and Throat O.R. Procedures” and “Local Excision and Removal of Internal Fixation Devices Except Hip and Femur”.

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
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
7Autologous Tissue Substitute

Includes: Autograft; Cultured epidermal cell autograft; Epicel(R) cultured epidermal autograft

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.

ICD-9-CM equivalent

Converter →
  • 76.09Other incision of facial boneapproximate

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 0NPW47Z

Is 0NPW47Z a valid ICD-10-PCS code for 2027?

Yes. 0NPW47Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0NPW47Z an O.R. procedure?

Yes. 0NPW47Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0NPW47Z group to?

Depending on the principal diagnosis, 0NPW47Z can group to MS-DRG 143, MS-DRG 144, MS-DRG 145, MS-DRG 495, MS-DRG 496 and MS-DRG 497.

What is the ICD-9 procedure code for 0NPW47Z?

The CMS GEMs map 0NPW47Z to ICD-9-CM 76.09 (Other incision of facial bone).