ICD-10-PCS 2027 procedure code
0RWEX4ZRevision of Internal Fixation Device in Right Sternoclavicular Joint, External Approach
Short description: Revision of Int Fix in R Sternoclav 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 0RWEX4Z
0RWEX4Z is the ICD-10-PCS code for a revision procedure on the right sternoclavicular joint using an external 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 miscellaneous procedures, the ICD-9-CM procedure title it maps to (99.99).
For a different body part, codes include 0RW0X4Z (occipital-cervical joint), 0RW1X4Z (cervical vertebral joint), 0RW4X4Z (cervicothoracic vertebral joint), 0RW6X4Z (thoracic vertebral joint), 0RWAX4Z (thoracolumbar vertebral joint), 0RWCX4Z (right temporomandibular joint) and 18 more.
The same procedure with a different approach is coded 0RWE04Z (open), 0RWE34Z (percutaneous) and 0RWE44Z (percutaneous endoscopic).
With a different device, use 0RWEX0Z (drainage device), 0RWEX3Z (infusion device), 0RWEX7Z (autologous tissue substitute), 0RWEX8Z (spacer), 0RWEXJZ (synthetic substitute) and 0RWEXKZ (nonautologous tissue substitute).
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
- ESternoclavicular Joint, Right
- 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
- 4Internal Fixation Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0RW0X4ZOccipital-cervical Joint
- 0RW1X4ZCervical Vertebral Joint
- 0RW4X4ZCervicothoracic Vertebral Joint
- 0RW6X4ZThoracic Vertebral Joint
- 0RWAX4ZThoracolumbar Vertebral Joint
- 0RWCX4ZTemporomandibular Joint, Right
- 0RWDX4ZTemporomandibular Joint, Left
- 0RWFX4ZSternoclavicular Joint, Left
- 0RWGX4ZAcromioclavicular Joint, Right
- 0RWHX4ZAcromioclavicular Joint, Left
- 0RWJX4ZShoulder Joint, Right
- 0RWKX4ZShoulder 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 0RWEX4Z
Is 0RWEX4Z a valid ICD-10-PCS code for 2027?
- Yes. 0RWEX4Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
What is the ICD-9 procedure code for 0RWEX4Z?
- The CMS GEMs map 0RWEX4Z to ICD-9-CM 99.99 (Other miscellaneous procedures).