ICD-10-PCS 2027 procedure code
0RW604ZRevision of Internal Fixation Device in Thoracic Vertebral Joint, Open Approach
Short description: Revision of Int Fix in 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 0RW604Z
0RW604Z is the ICD-10-PCS code for a revision procedure on the thoracic vertebral joint using an open 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 0RW004Z (occipital-cervical joint), 0RW104Z (cervical vertebral joint), 0RW404Z (cervicothoracic vertebral joint), 0RWA04Z (thoracolumbar vertebral joint), 0RWC04Z (right temporomandibular joint), 0RWD04Z (left temporomandibular joint) and 18 more.
The same procedure with a different approach is coded 0RW634Z (percutaneous), 0RW644Z (percutaneous endoscopic) and 0RW6X4Z (external).
With a different device, use 0RW600Z (drainage device), 0RW603Z (infusion device), 0RW607Z (autologous tissue substitute), 0RW608Z (spacer), 0RW60AZ (interbody fusion device), 0RW60JZ (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
- 6Thoracic Vertebral Joint
Includes: Costotransverse joint; Costovertebral joint; Thoracic 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
- 4Internal Fixation Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0RW004ZOccipital-cervical Joint
- 0RW104ZCervical Vertebral Joint
- 0RW404ZCervicothoracic Vertebral Joint
- 0RWA04ZThoracolumbar Vertebral Joint
- 0RWC04ZTemporomandibular Joint, Right
- 0RWD04ZTemporomandibular Joint, Left
- 0RWE04ZSternoclavicular Joint, Right
- 0RWF04ZSternoclavicular Joint, Left
- 0RWG04ZAcromioclavicular Joint, Right
- 0RWH04ZAcromioclavicular Joint, Left
- 0RWJ04ZShoulder Joint, Right
- 0RWK04ZShoulder 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 0RW604Z
Is 0RW604Z a valid ICD-10-PCS code for 2027?
- Yes. 0RW604Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RW604Z an O.R. procedure?
- Yes. 0RW604Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RW604Z group to?
- Depending on the principal diagnosis, 0RW604Z 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 0RW604Z?
- The CMS GEMs map 0RW604Z to ICD-9-CM 80.19 (Other arthrotomy, other specified sites).