Skip to content
Dx

ICD-10-PCS 2027 procedure code

0RW04KZRevision of Nonautologous Tissue Substitute in Occipital-cervical Joint, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Revision of Nonaut Sub in Occip Jt, 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 0RW04KZ

0RW04KZ is the ICD-10-PCS code for a revision procedure on the occipital-cervical joint using a percutaneous endoscopic approach with nonautologous 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 arthrotomy, other specified sites, the ICD-9-CM procedure title it maps to (80.19).

For a different body part, codes include 0RW14KZ (cervical vertebral joint), 0RW34KZ (cervical vertebral disc), 0RW44KZ (cervicothoracic vertebral joint), 0RW54KZ (cervicothoracic vertebral disc), 0RW64KZ (thoracic vertebral joint), 0RW94KZ (thoracic vertebral disc) and 22 more.

The same procedure with a different approach is coded 0RW00KZ (open), 0RW03KZ (percutaneous) and 0RW0XKZ (external).

With a different device, use 0RW040Z (drainage device), 0RW043Z (infusion device), 0RW044Z (internal fixation device), 0RW047Z (autologous tissue substitute), 0RW048Z (spacer), 0RW04AZ (interbody fusion device) 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) and DRG 517 (Other Musculoskeletal System and Connective Tissue O.R. Procedures without CC/MCC), under the surgical category “Other Musculoskeletal System and Connective Tissue O.R. 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
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
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
KNonautologous Tissue Substitute

Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft

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 →
  • 80.19Other arthrotomy, other specified sitesapproximate

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 0RW04KZ

Is 0RW04KZ a valid ICD-10-PCS code for 2027?

Yes. 0RW04KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RW04KZ an O.R. procedure?

Yes. 0RW04KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RW04KZ group to?

Depending on the principal diagnosis, 0RW04KZ can group to MS-DRG 515, MS-DRG 516 and MS-DRG 517.

What is the ICD-9 procedure code for 0RW04KZ?

The CMS GEMs map 0RW04KZ to ICD-9-CM 80.19 (Other arthrotomy, other specified sites).