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ICD-10-PCS 2027 procedure code

0PWN0JZRevision of Synthetic Substitute in Left Carpal, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Revision of Synthetic Substitute in L Carpal, Open 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 0PWN0JZ

0PWN0JZ is the ICD-10-PCS code for a revision procedure on the left carpal using an open approach with synthetic 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, carpals and metacarpals, the ICD-9-CM procedure title it maps to (77.14).

For a different body part, codes include 0PW00JZ (sternum), 0PW10JZ (ribs, 1 to 2), 0PW20JZ (ribs, 3 or more), 0PW30JZ (cervical vertebra), 0PW40JZ (thoracic vertebra), 0PW50JZ (right scapula) and 20 more.

The same procedure with a different approach is coded 0PWN3JZ (percutaneous), 0PWN4JZ (percutaneous endoscopic) and 0PWNXJZ (external).

With a different device, use 0PWN04Z (internal fixation device), 0PWN05Z (external fixation device), 0PWN07Z (autologous tissue substitute) and 0PWN0KZ (nonautologous tissue substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 513 (Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with CC/MCC) and DRG 514 (Hand or Wrist Procedures, Except Major Thumb or Joint Procedures without CC/MCC), under the surgical category “Hand or Wrist Procedures, Except Major Thumb or Joint Procedures”.

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
NCarpal, Left

Includes: Capitate bone; Hamate bone; Lunate bone; Pisiform bone; Scaphoid bone; Trapezium bone; Trapezoid bone; Triquetral bone

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
JSynthetic Substitute

Includes: AbioCor(R) Total Replacement Heart; AMPLATZER(R) Muscular VSD Occluder; Annuloplasty ring; Bard(R) Composix(R) (E/X)(LP) mesh; Bard(R) Composix(R) Kugel(R) patch; Bard(R) Dulex(tm) mesh; Bard(R) Ventralex(tm) hernia patch; Barricaid(R) Annular Closure Device (ACD); BRYAN(R) Cervical Disc System; Corvia IASD(R); Ex-PRESS(tm) mini glaucoma shunt; Flexible Composite Mesh; GORE(R) ACUSEAL Vascular Graft; GORE(R) CARDIOFORM Septal Occluder; GORE(R) DUALMESH(R); GORE(R) PROPATEN(R) Vascular Graft; GORE(R) VIATORR(R) TIPS Endoprosthesis; Holter valve ventricular shunt; IASD(R) (InterAtrial Shunt Device), Corvia; InterAtrial Shunt Device IASD(R), Corvia; LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System; MitraClip valve repair system; Nitinol framed polymer mesh; Open Pivot (mechanical) valve; Open Pivot Aortic Valve Graft (AVG); Partially absorbable mesh; PHYSIOMESH(tm) Flexible Composite Mesh; Polymethylmethacrylate (PMMA); Polypropylene mesh; PRESTIGE(R) Cervical Disc; PROCEED(tm) Ventral Patch; Prodisc-C; Prodisc-L; PROLENE Polypropylene Hernia System (PHS); Rebound HRD(R) (Hernia Repair Device); SynCardia Total Artificial Heart; Total artificial (replacement) heart; ULTRAPRO Hernia System (UHS); ULTRAPRO Partially Absorbable Lightweight Mesh; ULTRAPRO Plug; V-Wave Interatrial Shunt System; Ventrio(tm) Hernia Patch; Zimmer(R) NexGen(R) LPS Mobile Bearing Knee; Zimmer(R) NexGen(R) LPS-Flex Mobile Knee

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.

MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Hand or Wrist Procedures, Except Major Thumb or Joint Procedures

ICD-9-CM equivalent

Converter →
  • 77.14Other incision of bone without division, carpals and metacarpalsapproximate

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 0PWN0JZ

Is 0PWN0JZ a valid ICD-10-PCS code for 2027?

Yes. 0PWN0JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0PWN0JZ an O.R. procedure?

Yes. 0PWN0JZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0PWN0JZ group to?

Depending on the principal diagnosis, 0PWN0JZ can group to MS-DRG 513 and MS-DRG 514.

What is the ICD-9 procedure code for 0PWN0JZ?

The CMS GEMs map 0PWN0JZ to ICD-9-CM 77.14 (Other incision of bone without division, carpals and metacarpals).