ICD-10-PCS 2027 procedure code
0RW034ZRevision of Internal Fixation Device in Occipital-cervical Joint, Percutaneous Approach
Short description: Revision of Int Fix in Occip Jt, 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 0RW034Z
0RW034Z is the ICD-10-PCS code for a revision procedure on the occipital-cervical joint using a percutaneous 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 arthrotomy, other specified sites, the ICD-9-CM procedure title it maps to (80.19).
For a different body part, codes include 0RW134Z (cervical vertebral joint), 0RW434Z (cervicothoracic vertebral joint), 0RW634Z (thoracic vertebral joint), 0RWA34Z (thoracolumbar vertebral joint), 0RWC34Z (right temporomandibular joint), 0RWD34Z (left temporomandibular joint) and 18 more.
The same procedure with a different approach is coded 0RW004Z (open), 0RW044Z (percutaneous endoscopic) and 0RW0X4Z (external).
With a different device, use 0RW030Z (drainage device), 0RW033Z (infusion device), 0RW037Z (autologous tissue substitute), 0RW038Z (spacer), 0RW03AZ (interbody fusion device), 0RW03JZ (synthetic substitute) and 1 more.
It is an operating-room procedure in the MS-DRG logic for DRG 515 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC), DRG 516 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC), DRG 517 (Other Musculoskeletal System and Connective Tissue O.R. Procedures without CC/MCC), DRG 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC) and DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), under the surgical categories “Other Musculoskeletal System and Connective Tissue O.R. Procedures”, “Other O.R. Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.
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
- RUpper Joints
- 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
- 0Occipital-cervical Joint
- 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
- 4Internal Fixation Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0RW134ZCervical Vertebral Joint
- 0RW434ZCervicothoracic Vertebral Joint
- 0RW634ZThoracic Vertebral Joint
- 0RWA34ZThoracolumbar Vertebral Joint
- 0RWC34ZTemporomandibular Joint, Right
- 0RWD34ZTemporomandibular Joint, Left
- 0RWE34ZSternoclavicular Joint, Right
- 0RWF34ZSternoclavicular Joint, Left
- 0RWG34ZAcromioclavicular Joint, Right
- 0RWH34ZAcromioclavicular Joint, Left
- 0RWJ34ZShoulder Joint, Right
- 0RWK34ZShoulder Joint, Left
Different approach
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 · Other Musculoskeletal System and Connective Tissue O.R. Procedures
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →- 80.19Other arthrotomy, other specified sitesapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 0RW034Z
Is 0RW034Z a valid ICD-10-PCS code for 2027?
- Yes. 0RW034Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RW034Z an O.R. procedure?
- Yes. 0RW034Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RW034Z group to?
- Depending on the principal diagnosis, 0RW034Z can group to MS-DRG 515, MS-DRG 516, MS-DRG 517, MS-DRG 907, MS-DRG 908 and MS-DRG 909.
What is the ICD-9 procedure code for 0RW034Z?
- The CMS GEMs map 0RW034Z to ICD-9-CM 80.19 (Other arthrotomy, other specified sites).