ICD-10-PCS 2027 procedure code
0RWH40ZRevision of Drainage Device in Left Acromioclavicular Joint, Percutaneous Endoscopic Approach
Short description: Revise of Drain Dev in L Acromioclav 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 0RWH40Z
0RWH40Z is the ICD-10-PCS code for a revision procedure on the left acromioclavicular 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, shoulder, the ICD-9-CM procedure title it maps to (80.11).
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), 0RW640Z (thoracic vertebral joint) and 22 more.
The same procedure with a different approach is coded 0RWH00Z (open), 0RWH30Z (percutaneous) and 0RWHX0Z (external).
With a different device, use 0RWH43Z (infusion device), 0RWH44Z (internal fixation device), 0RWH47Z (autologous tissue substitute), 0RWH48Z (spacer), 0RWH4JZ (synthetic substitute) and 0RWH4KZ (nonautologous tissue substitute).
It is an operating-room procedure in the MS-DRG logic for DRG 507 (Major Shoulder or Elbow Joint Procedures with CC/MCC), DRG 508 (Major Shoulder or Elbow Joint 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 “Major Shoulder or Elbow Joint Procedures” and “Other O.R. Procedures for Injuries”.
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
- HAcromioclavicular 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
- 0Drainage Device
Includes: Cystostomy tube; Foley catheter; Percutaneous nephrostomy catheter; Thoracostomy tube
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0RW040ZOccipital-cervical Joint
- 0RW140ZCervical Vertebral Joint
- 0RW340ZCervical Vertebral Disc
- 0RW440ZCervicothoracic Vertebral Joint
- 0RW540ZCervicothoracic Vertebral Disc
- 0RW640ZThoracic Vertebral Joint
- 0RW940ZThoracic Vertebral Disc
- 0RWA40ZThoracolumbar Vertebral Joint
- 0RWB40ZThoracolumbar Vertebral Disc
- 0RWC40ZTemporomandibular Joint, Right
- 0RWD40ZTemporomandibular Joint, Left
- 0RWE40ZSternoclavicular Joint, Right
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 · Major Shoulder or Elbow Joint Procedures
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
ICD-9-CM equivalent
Converter →- 80.11Other arthrotomy, shoulderapproximate
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 0RWH40Z
Is 0RWH40Z a valid ICD-10-PCS code for 2027?
- Yes. 0RWH40Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RWH40Z an O.R. procedure?
- Yes. 0RWH40Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RWH40Z group to?
- Depending on the principal diagnosis, 0RWH40Z can group to MS-DRG 507, MS-DRG 508, MS-DRG 907, MS-DRG 908 and MS-DRG 909.
What is the ICD-9 procedure code for 0RWH40Z?
- The CMS GEMs map 0RWH40Z to ICD-9-CM 80.11 (Other arthrotomy, shoulder).