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ICD-10-PCS 2027 procedure code

0PWMX5ZRevision of External Fixation Device in Right Carpal, External Approach

✓ Valid for 2027

Short description: Revision of Ext Fix in R Carpal, Extern 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 0PWMX5Z

0PWMX5Z is the ICD-10-PCS code for a revision procedure on the right carpal using an external approach with external 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 0PWCX5Z (right humeral head), 0PWDX5Z (left humeral head), 0PWFX5Z (right humeral shaft), 0PWGX5Z (left humeral shaft), 0PWHX5Z (right radius), 0PWJX5Z (left radius) and 9 more.

The same procedure with a different approach is coded 0PWM05Z (open), 0PWM35Z (percutaneous) and 0PWM45Z (percutaneous endoscopic).

With a different device, use 0PWMX4Z (internal fixation device), 0PWMX7Z (autologous tissue substitute), 0PWMXJZ (synthetic substitute) and 0PWMXKZ (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
MCarpal, Right
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
5External 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)
  • No changes since FY2016.

Common questions about 0PWMX5Z

Is 0PWMX5Z a valid ICD-10-PCS code for 2027?

Yes. 0PWMX5Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 0PWMX5Z?

The CMS GEMs map 0PWMX5Z to ICD-9-CM 99.99 (Other miscellaneous procedures).