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ICD-10-PCS 2027 procedure code

0RW408ZRevision of Spacer in Cervicothoracic Vertebral Joint, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Revision of Spacer in C-thor Jt, Open 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 0RW408Z

0RW408Z is the ICD-10-PCS code for a revision procedure on the cervicothoracic vertebral joint using an open approach with spacer. 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 0RW008Z (occipital-cervical joint), 0RW108Z (cervical vertebral joint), 0RW608Z (thoracic vertebral joint), 0RWA08Z (thoracolumbar vertebral joint), 0RWC08Z (right temporomandibular joint), 0RWD08Z (left temporomandibular joint) and 18 more.

The same procedure with a different approach is coded 0RW438Z (percutaneous), 0RW448Z (percutaneous endoscopic) and 0RW4X8Z (external).

With a different device, use 0RW400Z (drainage device), 0RW403Z (infusion device), 0RW404Z (internal fixation device), 0RW407Z (autologous tissue substitute), 0RW40AZ (interbody fusion device), 0RW40JZ (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) 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
4Cervicothoracic Vertebral Joint

Includes: Cervicothoracic facet joint

5. Approach
0Open

Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

6. Device
8Spacer
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 0RW408Z

Is 0RW408Z a valid ICD-10-PCS code for 2027?

Yes. 0RW408Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RW408Z an O.R. procedure?

Yes. 0RW408Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RW408Z group to?

Depending on the principal diagnosis, 0RW408Z can group to MS-DRG 515, MS-DRG 516 and MS-DRG 517.

What is the ICD-9 procedure code for 0RW408Z?

The CMS GEMs map 0RW408Z to ICD-9-CM 80.19 (Other arthrotomy, other specified sites).