ICD-10-PCS 2027 procedure code
0RWD44ZRevision of Internal Fixation Device in Left Temporomandibular Joint, Percutaneous Endoscopic Approach
Short description: Revise of Int Fix in L Temporomandib 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 0RWD44Z
0RWD44Z is the ICD-10-PCS code for a revision procedure on the left temporomandibular joint using a percutaneous endoscopic 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 incision of facial bone, the ICD-9-CM procedure title it maps to (76.09).
For a different body part, codes include 0RW044Z (occipital-cervical joint), 0RW144Z (cervical vertebral joint), 0RW444Z (cervicothoracic vertebral joint), 0RW644Z (thoracic vertebral joint), 0RWA44Z (thoracolumbar vertebral joint), 0RWC44Z (right temporomandibular joint) and 18 more.
The same procedure with a different approach is coded 0RWD04Z (open), 0RWD34Z (percutaneous) and 0RWDX4Z (external).
With a different device, use 0RWD40Z (drainage device), 0RWD43Z (infusion device), 0RWD47Z (autologous tissue substitute), 0RWD48Z (spacer), 0RWD4JZ (synthetic substitute) and 0RWD4KZ (nonautologous tissue substitute).
It is an operating-room procedure in the MS-DRG logic for DRG 143 (Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC), DRG 144 (Other Ear, Nose, Mouth and Throat O.R. Procedures with CC) and DRG 145 (Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC), under the surgical category “Other Ear, Nose, Mouth and Throat 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
- DTemporomandibular Joint, Left
- 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
- 4Internal Fixation Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0RW044ZOccipital-cervical Joint
- 0RW144ZCervical Vertebral Joint
- 0RW444ZCervicothoracic Vertebral Joint
- 0RW644ZThoracic Vertebral Joint
- 0RWA44ZThoracolumbar Vertebral Joint
- 0RWC44ZTemporomandibular Joint, Right
- 0RWE44ZSternoclavicular Joint, Right
- 0RWF44ZSternoclavicular Joint, Left
- 0RWG44ZAcromioclavicular Joint, Right
- 0RWH44ZAcromioclavicular Joint, Left
- 0RWJ44ZShoulder Joint, Right
- 0RWK44ZShoulder 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 03 · Diseases and Disorders of the Ear, Nose, Mouth and Throat · Other Ear, Nose, Mouth and Throat O.R. Procedures
ICD-9-CM equivalent
Converter →- 76.09Other incision of facial boneapproximate
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 0RWD44Z
Is 0RWD44Z a valid ICD-10-PCS code for 2027?
- Yes. 0RWD44Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RWD44Z an O.R. procedure?
- Yes. 0RWD44Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RWD44Z group to?
- Depending on the principal diagnosis, 0RWD44Z can group to MS-DRG 143, MS-DRG 144 and MS-DRG 145.
What is the ICD-9 procedure code for 0RWD44Z?
- The CMS GEMs map 0RWD44Z to ICD-9-CM 76.09 (Other incision of facial bone).