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ICD-10-PCS 2027 procedure code

0RWL05ZRevision of External Fixation Device in Right Elbow Joint, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Revision of Ext Fix in R Elbow 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 0RWL05Z

0RWL05Z is the ICD-10-PCS code for a revision procedure on the right elbow joint using an open approach with external 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, elbow, the ICD-9-CM procedure title it maps to (80.12).

For a different body part, codes include 0RWM05Z (left elbow joint), 0RWN05Z (right wrist joint), 0RWP05Z (left wrist joint), 0RWQ05Z (right carpal joint), 0RWR05Z (left carpal joint), 0RWS05Z (right carpometacarpal joint) and 5 more.

The same procedure with a different approach is coded 0RWL35Z (percutaneous), 0RWL45Z (percutaneous endoscopic) and 0RWLX5Z (external).

With a different device, use 0RWL00Z (drainage device), 0RWL03Z (infusion device), 0RWL04Z (internal fixation device), 0RWL07Z (autologous tissue substitute), 0RWL08Z (spacer), 0RWL0JZ (synthetic substitute) and 1 more.

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
LElbow Joint, Right
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
5External Fixation Device
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.

MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Major Shoulder or Elbow Joint Procedures

ICD-9-CM equivalent

Converter →
  • 80.12Other arthrotomy, elbowapproximate

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 0RWL05Z

Is 0RWL05Z a valid ICD-10-PCS code for 2027?

Yes. 0RWL05Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RWL05Z an O.R. procedure?

Yes. 0RWL05Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RWL05Z group to?

Depending on the principal diagnosis, 0RWL05Z 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 0RWL05Z?

The CMS GEMs map 0RWL05Z to ICD-9-CM 80.12 (Other arthrotomy, elbow).