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ICD-10-PCS 2027 procedure code

0RWL0KZRevision of Nonautologous Tissue Substitute in Right Elbow Joint, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Revision of Nonaut Sub 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 0RWL0KZ

0RWL0KZ is the ICD-10-PCS code for a revision procedure on the right elbow joint using an open approach with nonautologous tissue substitute. 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 0RW00KZ (occipital-cervical joint), 0RW10KZ (cervical vertebral joint), 0RW30KZ (cervical vertebral disc), 0RW40KZ (cervicothoracic vertebral joint), 0RW50KZ (cervicothoracic vertebral disc), 0RW60KZ (thoracic vertebral joint) and 22 more.

The same procedure with a different approach is coded 0RWL3KZ (percutaneous), 0RWL4KZ (percutaneous endoscopic) and 0RWLXKZ (external).

With a different device, use 0RWL00Z (drainage device), 0RWL03Z (infusion device), 0RWL04Z (internal fixation device), 0RWL05Z (external fixation device), 0RWL07Z (autologous tissue substitute), 0RWL08Z (spacer) 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
KNonautologous Tissue Substitute

Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft

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 0RWL0KZ

Is 0RWL0KZ a valid ICD-10-PCS code for 2027?

Yes. 0RWL0KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RWL0KZ an O.R. procedure?

Yes. 0RWL0KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RWL0KZ group to?

Depending on the principal diagnosis, 0RWL0KZ 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 0RWL0KZ?

The CMS GEMs map 0RWL0KZ to ICD-9-CM 80.12 (Other arthrotomy, elbow).