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ICD-10-PCS 2027 procedure code

0PW237ZRevision of Autologous Tissue Substitute in 3 or More Ribs, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Short description: Revision of Autol Sub in 3+ Ribs, Perc 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 0PW237Z

0PW237Z is the ICD-10-PCS code for a revision procedure on the ribs, 3 or more using a percutaneous approach with autologous tissue 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 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 0PW037Z (sternum), 0PW137Z (ribs, 1 to 2), 0PW337Z (cervical vertebra), 0PW437Z (thoracic vertebra), 0PW537Z (right scapula), 0PW637Z (left scapula) and 20 more.

The same procedure with a different approach is coded 0PW207Z (open), 0PW247Z (percutaneous endoscopic) and 0PW2X7Z (external).

With a different device, use 0PW234Z (internal fixation device), 0PW23JZ (synthetic substitute) and 0PW23KZ (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
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
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 →
  • 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 Autologous Tissue Substitute in Left Rib, Percutaneous Approach”

Common questions about 0PW237Z

Is 0PW237Z a valid ICD-10-PCS code for 2027?

Yes. 0PW237Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0PW237Z an O.R. procedure?

Yes. 0PW237Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0PW237Z group to?

Depending on the principal diagnosis, 0PW237Z can group to MS-DRG 495, MS-DRG 496 and MS-DRG 497.

What is the ICD-9 procedure code for 0PW237Z?

The CMS GEMs map 0PW237Z to ICD-9-CM 77.11 (Other incision of bone without division, scapula, clavicle, and thorax [ribs and sternum]).