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ICD-10-PCS 2027 procedure code

0RW640ZRevision of Drainage Device in Thoracic Vertebral Joint, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Revision of Drainage Device in Thor 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 0RW640Z

0RW640Z is the ICD-10-PCS code for a revision procedure on the thoracic vertebral joint using a percutaneous endoscopic approach with drainage 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 0RW040Z (occipital-cervical joint), 0RW140Z (cervical vertebral joint), 0RW340Z (cervical vertebral disc), 0RW440Z (cervicothoracic vertebral joint), 0RW540Z (cervicothoracic vertebral disc), 0RW940Z (thoracic vertebral disc) and 22 more.

The same procedure with a different approach is coded 0RW600Z (open), 0RW630Z (percutaneous) and 0RW6X0Z (external).

With a different device, use 0RW643Z (infusion device), 0RW644Z (internal fixation device), 0RW647Z (autologous tissue substitute), 0RW648Z (spacer), 0RW64AZ (interbody fusion device), 0RW64JZ (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
6Thoracic Vertebral Joint

Includes: Costotransverse joint; Costovertebral joint; Thoracic facet 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
0Drainage Device

Includes: Cystostomy tube; Foley catheter; Percutaneous nephrostomy catheter; Thoracostomy tube

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 0RW640Z

Is 0RW640Z a valid ICD-10-PCS code for 2027?

Yes. 0RW640Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RW640Z an O.R. procedure?

Yes. 0RW640Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RW640Z group to?

Depending on the principal diagnosis, 0RW640Z can group to MS-DRG 515, MS-DRG 516 and MS-DRG 517.

What is the ICD-9 procedure code for 0RW640Z?

The CMS GEMs map 0RW640Z to ICD-9-CM 80.19 (Other arthrotomy, other specified sites).