ICD-10-PCS 2027 procedure code
0RW0XKZRevision of Nonautologous Tissue Substitute in Occipital-cervical Joint, External Approach
Short description: Revision of Nonaut Sub in Occip Jt, Extern 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 0RW0XKZ
0RW0XKZ is the ICD-10-PCS code for a revision procedure on the occipital-cervical joint using an external 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 miscellaneous procedures, the ICD-9-CM procedure title it maps to (99.99).
For a different body part, codes include 0RW1XKZ (cervical vertebral joint), 0RW3XKZ (cervical vertebral disc), 0RW4XKZ (cervicothoracic vertebral joint), 0RW5XKZ (cervicothoracic vertebral disc), 0RW6XKZ (thoracic vertebral joint), 0RW9XKZ (thoracic vertebral disc) and 22 more.
The same procedure with a different approach is coded 0RW00KZ (open), 0RW03KZ (percutaneous) and 0RW04KZ (percutaneous endoscopic).
With a different device, use 0RW0X0Z (drainage device), 0RW0X3Z (infusion device), 0RW0X4Z (internal fixation device), 0RW0X7Z (autologous tissue substitute), 0RW0X8Z (spacer), 0RW0XAZ (interbody fusion device) and 1 more.
It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.
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
- XExternal
Procedures performed directly on the skin or mucous membrane and procedures performed indirectly by the application of external force through the skin or mucous membrane
- 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
Different body part
- 0RW1XKZCervical Vertebral Joint
- 0RW3XKZCervical Vertebral Disc
- 0RW4XKZCervicothoracic Vertebral Joint
- 0RW5XKZCervicothoracic Vertebral Disc
- 0RW6XKZThoracic Vertebral Joint
- 0RW9XKZThoracic Vertebral Disc
- 0RWAXKZThoracolumbar Vertebral Joint
- 0RWBXKZThoracolumbar Vertebral Disc
- 0RWCXKZTemporomandibular Joint, Right
- 0RWDXKZTemporomandibular Joint, Left
- 0RWEXKZSternoclavicular Joint, Right
- 0RWFXKZSternoclavicular Joint, Left
Different approach
ICD-9-CM equivalent
Converter →- 99.99Other miscellaneous proceduresapproximate
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 0RW0XKZ
Is 0RW0XKZ a valid ICD-10-PCS code for 2027?
- Yes. 0RW0XKZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
What is the ICD-9 procedure code for 0RW0XKZ?
- The CMS GEMs map 0RW0XKZ to ICD-9-CM 99.99 (Other miscellaneous procedures).