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ICD-10-PCS 2027 procedure code

0QW00JZRevision of Synthetic Substitute in Lumbar Vertebra, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Revision of Synth Sub in Lum Vertebra, 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 0QW00JZ

0QW00JZ is the ICD-10-PCS code for a revision procedure on the lumbar vertebra 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, other bones, the ICD-9-CM procedure title it maps to (77.19).

For a different body part, codes include 0QW10JZ (sacrum), 0QW20JZ (right pelvic bone), 0QW30JZ (left pelvic bone), 0QW40JZ (right acetabulum), 0QW50JZ (left acetabulum), 0QW60JZ (right upper femur) and 18 more.

The same procedure with a different approach is coded 0QW03JZ (percutaneous), 0QW04JZ (percutaneous endoscopic) and 0QW0XJZ (external).

With a different device, use 0QW004Z (internal fixation device), 0QW007Z (autologous tissue substitute) and 0QW00KZ (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
QLower 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
0Lumbar Vertebra

Includes: Spinous process; Transverse process; Vertebral arch; Vertebral body; Vertebral foramen; Vertebral lamina; Vertebral pedicle

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.

ICD-9-CM equivalent

Converter →
  • 77.19Other incision of bone without division, other bonesapproximate

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 0QW00JZ

Is 0QW00JZ a valid ICD-10-PCS code for 2027?

Yes. 0QW00JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0QW00JZ an O.R. procedure?

Yes. 0QW00JZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0QW00JZ group to?

Depending on the principal diagnosis, 0QW00JZ can group to MS-DRG 495, MS-DRG 496 and MS-DRG 497.

What is the ICD-9 procedure code for 0QW00JZ?

The CMS GEMs map 0QW00JZ to ICD-9-CM 77.19 (Other incision of bone without division, other bones).