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ICD-10-PCS 2027 procedure code

0PWP04ZRevision of Internal Fixation Device in Right Metacarpal, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Revision of Int Fix in R Metacarpal, 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 0PWP04Z

0PWP04Z is the ICD-10-PCS code for a revision procedure on the right metacarpal 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, carpals and metacarpals, the ICD-9-CM procedure title it maps to (77.14).

For a different body part, codes include 0PW004Z (sternum), 0PW104Z (ribs, 1 to 2), 0PW204Z (ribs, 3 or more), 0PW304Z (cervical vertebra), 0PW404Z (thoracic vertebra), 0PW504Z (right scapula) and 20 more.

The same procedure with a different approach is coded 0PWP34Z (percutaneous), 0PWP44Z (percutaneous endoscopic) and 0PWPX4Z (external).

With a different device, use 0PWP05Z (external fixation device), 0PWP07Z (autologous tissue substitute), 0PWP0JZ (synthetic substitute) and 0PWP0KZ (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
PMetacarpal, Right
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.

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 0PWP04Z

Is 0PWP04Z a valid ICD-10-PCS code for 2027?

Yes. 0PWP04Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0PWP04Z an O.R. procedure?

Yes. 0PWP04Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0PWP04Z group to?

Depending on the principal diagnosis, 0PWP04Z can group to MS-DRG 513 and MS-DRG 514.

What is the ICD-9 procedure code for 0PWP04Z?

The CMS GEMs map 0PWP04Z to ICD-9-CM 77.14 (Other incision of bone without division, carpals and metacarpals).