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ICD-10-PCS 2027 procedure code

0QWS47ZRevision of Autologous Tissue Substitute in Coccyx, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Revision of Autol Sub in Coccyx, Perc Endo 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 0QWS47Z

0QWS47Z is the ICD-10-PCS code for a revision procedure on the coccyx using a percutaneous endoscopic approach with autologous tissue 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 0QW047Z (lumbar vertebra), 0QW147Z (sacrum), 0QW247Z (right pelvic bone), 0QW347Z (left pelvic bone), 0QW447Z (right acetabulum), 0QW547Z (left acetabulum) and 18 more.

The same procedure with a different approach is coded 0QWS07Z (open), 0QWS37Z (percutaneous) and 0QWSX7Z (external).

With a different device, use 0QWS44Z (internal fixation device), 0QWS4JZ (synthetic substitute) and 0QWS4KZ (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
SCoccyx
5. Approach
4Percutaneous Endoscopic

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

6. Device
7Autologous Tissue Substitute

Includes: Autograft; Cultured epidermal cell autograft; Epicel(R) cultured epidermal autograft

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 0QWS47Z

Is 0QWS47Z a valid ICD-10-PCS code for 2027?

Yes. 0QWS47Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0QWS47Z an O.R. procedure?

Yes. 0QWS47Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0QWS47Z group to?

Depending on the principal diagnosis, 0QWS47Z can group to MS-DRG 495, MS-DRG 496 and MS-DRG 497.

What is the ICD-9 procedure code for 0QWS47Z?

The CMS GEMs map 0QWS47Z to ICD-9-CM 77.19 (Other incision of bone without division, other bones).