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ICD-10-PCS 2027 procedure code

0PW2X4ZRevision of Internal Fixation Device in 3 or More Ribs, External Approach

✓ Valid for 2027

Short description: Revision of Int Fix in 3+ Ribs, Extern 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 0PW2X4Z

0PW2X4Z is the ICD-10-PCS code for a revision procedure on the ribs, 3 or more using an external 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 miscellaneous procedures, the ICD-9-CM procedure title it maps to (99.99).

For a different body part, codes include 0PW0X4Z (sternum), 0PW1X4Z (ribs, 1 to 2), 0PW3X4Z (cervical vertebra), 0PW4X4Z (thoracic vertebra), 0PW5X4Z (right scapula), 0PW6X4Z (left scapula) and 20 more.

The same procedure with a different approach is coded 0PW204Z (open), 0PW234Z (percutaneous) and 0PW244Z (percutaneous endoscopic).

With a different device, use 0PW2X7Z (autologous tissue substitute), 0PW2XJZ (synthetic substitute) and 0PW2XKZ (nonautologous tissue substitute).

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

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
XExternal

Procedures performed directly on the skin or mucous membrane and procedures performed indirectly by the application of external force through the skin or mucous membrane

6. Device
4Internal Fixation Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

ICD-9-CM equivalent

Converter →
  • 99.99Other miscellaneous proceduresapproximate

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, External Approach”

Common questions about 0PW2X4Z

Is 0PW2X4Z a valid ICD-10-PCS code for 2027?

Yes. 0PW2X4Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 0PW2X4Z?

The CMS GEMs map 0PW2X4Z to ICD-9-CM 99.99 (Other miscellaneous procedures).