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ICD-10-PCS 2027 procedure code

0PW204ZRevision of Internal Fixation Device in 3 or More Ribs, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Revision of Int Fix in 3+ Ribs, Open Approach

Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0PW204Z

0PW204Z is the ICD-10-PCS code for a revision procedure on the ribs, 3 or more using an open approach with internal fixation device. 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 other incision of bone without division, scapula, clavicle, and thorax [ribs and sternum], the ICD-9-CM procedure title it maps to (77.11).

For a different body part, codes include 0PW004Z (sternum), 0PW104Z (ribs, 1 to 2), 0PW304Z (cervical vertebra), 0PW404Z (thoracic vertebra), 0PW504Z (right scapula), 0PW604Z (left scapula) and 20 more.

The same procedure with a different approach is coded 0PW234Z (percutaneous), 0PW244Z (percutaneous endoscopic) and 0PW2X4Z (external).

With a different device, use 0PW207Z (autologous tissue substitute), 0PW20JZ (synthetic substitute) and 0PW20KZ (nonautologous tissue substitute).

It is an operating-room procedure in the MS-DRG logic for 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 category “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
PUpper Bones
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
2Ribs, 3 or More
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
4Internal 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.

ICD-9-CM equivalent

Converter →
  • 77.11Other incision of bone without division, scapula, clavicle, and thorax [ribs and sternum]approximate

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)
  • FY2018 (effective 10/1/2017): Title revised — was “Revision of Internal Fixation Device in Left Rib, Open Approach”

Common questions about 0PW204Z

Is 0PW204Z a valid ICD-10-PCS code for 2027?

Yes. 0PW204Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0PW204Z an O.R. procedure?

Yes. 0PW204Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0PW204Z group to?

Depending on the principal diagnosis, 0PW204Z can group to MS-DRG 495, MS-DRG 496 and MS-DRG 497.

What is the ICD-9 procedure code for 0PW204Z?

The CMS GEMs map 0PW204Z to ICD-9-CM 77.11 (Other incision of bone without division, scapula, clavicle, and thorax [ribs and sternum]).