Skip to content
Dx

ICD-10-PCS 2027 procedure code

0QWH3JZRevision of Synthetic Substitute in Left Tibia, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Short description: Revision of Synthetic Substitute in L Tibia, Perc 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 0QWH3JZ

0QWH3JZ is the ICD-10-PCS code for a revision procedure on the left tibia using a percutaneous 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, tibia and fibula, the ICD-9-CM procedure title it maps to (77.17).

For a different body part, codes include 0QW03JZ (lumbar vertebra), 0QW13JZ (sacrum), 0QW23JZ (right pelvic bone), 0QW33JZ (left pelvic bone), 0QW43JZ (right acetabulum), 0QW53JZ (left acetabulum) and 18 more.

The same procedure with a different approach is coded 0QWH0JZ (open), 0QWH4JZ (percutaneous endoscopic) and 0QWHXJZ (external).

With a different device, use 0QWH34Z (internal fixation device), 0QWH35Z (external fixation device), 0QWH37Z (autologous tissue substitute) and 0QWH3KZ (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
HTibia, Left

Includes: Lateral condyle of tibia; Medial condyle of tibia; Medial malleolus

5. Approach
3Percutaneous

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach 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 →
  • 77.17Other incision of bone without division, tibia and fibulaapproximate

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 0QWH3JZ

Is 0QWH3JZ a valid ICD-10-PCS code for 2027?

Yes. 0QWH3JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0QWH3JZ an O.R. procedure?

Yes. 0QWH3JZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0QWH3JZ group to?

Depending on the principal diagnosis, 0QWH3JZ can group to MS-DRG 495, MS-DRG 496 and MS-DRG 497.

What is the ICD-9 procedure code for 0QWH3JZ?

The CMS GEMs map 0QWH3JZ to ICD-9-CM 77.17 (Other incision of bone without division, tibia and fibula).