Skip to content
Dx

ICD-10-PCS 2027 procedure code

0RWM3JZRevision of Synthetic Substitute in Left Elbow Joint, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Short description: Revision of Synth Sub in L Elbow Jt, Perc 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 0RWM3JZ

0RWM3JZ is the ICD-10-PCS code for a revision procedure on the left elbow joint using a percutaneous approach with synthetic 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 revision of joint replacement of upper extremity, the ICD-9-CM procedure title it maps to (81.97).

For a different body part, codes include 0RW03JZ (occipital-cervical joint), 0RW13JZ (cervical vertebral joint), 0RW33JZ (cervical vertebral disc), 0RW43JZ (cervicothoracic vertebral joint), 0RW53JZ (cervicothoracic vertebral disc), 0RW63JZ (thoracic vertebral joint) and 22 more.

The same procedure with a different approach is coded 0RWM0JZ (open), 0RWM4JZ (percutaneous endoscopic) and 0RWMXJZ (external).

With a different device, use 0RWM30Z (drainage device), 0RWM33Z (infusion device), 0RWM34Z (internal fixation device), 0RWM35Z (external fixation device), 0RWM37Z (autologous tissue substitute), 0RWM38Z (spacer) and 1 more.

It is an operating-room procedure in the MS-DRG logic for DRG 515 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC), DRG 516 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC), DRG 517 (Other Musculoskeletal System and Connective Tissue O.R. 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 “Other Musculoskeletal System and Connective Tissue O.R. Procedures”, “Other O.R. Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.

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
MElbow Joint, Left

Includes: Distal humerus, involving joint; Humeroradial joint; Humeroulnar joint; Proximal radioulnar joint

5. Approach
3Percutaneous

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure

6. Device
JSynthetic Substitute

Includes: AbioCor(R) Total Replacement Heart; AMPLATZER(R) Muscular VSD Occluder; Annuloplasty ring; Bard(R) Composix(R) (E/X)(LP) mesh; Bard(R) Composix(R) Kugel(R) patch; Bard(R) Dulex(tm) mesh; Bard(R) Ventralex(tm) hernia patch; Barricaid(R) Annular Closure Device (ACD); BRYAN(R) Cervical Disc System; Corvia IASD(R); Ex-PRESS(tm) mini glaucoma shunt; Flexible Composite Mesh; GORE(R) ACUSEAL Vascular Graft; GORE(R) CARDIOFORM Septal Occluder; GORE(R) DUALMESH(R); GORE(R) PROPATEN(R) Vascular Graft; GORE(R) VIATORR(R) TIPS Endoprosthesis; Holter valve ventricular shunt; IASD(R) (InterAtrial Shunt Device), Corvia; InterAtrial Shunt Device IASD(R), Corvia; LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System; MitraClip valve repair system; Nitinol framed polymer mesh; Open Pivot (mechanical) valve; Open Pivot Aortic Valve Graft (AVG); Partially absorbable mesh; PHYSIOMESH(tm) Flexible Composite Mesh; Polymethylmethacrylate (PMMA); Polypropylene mesh; PRESTIGE(R) Cervical Disc; PROCEED(tm) Ventral Patch; Prodisc-C; Prodisc-L; PROLENE Polypropylene Hernia System (PHS); Rebound HRD(R) (Hernia Repair Device); SynCardia Total Artificial Heart; Total artificial (replacement) heart; ULTRAPRO Hernia System (UHS); ULTRAPRO Partially Absorbable Lightweight Mesh; ULTRAPRO Plug; V-Wave Interatrial Shunt System; Ventrio(tm) Hernia Patch; Zimmer(R) NexGen(R) LPS Mobile Bearing Knee; Zimmer(R) NexGen(R) LPS-Flex Mobile Knee

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.

ICD-9-CM equivalent

Converter →
  • 81.97Revision of joint replacement of upper extremityapproximate

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 0RWM3JZ

Is 0RWM3JZ a valid ICD-10-PCS code for 2027?

Yes. 0RWM3JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RWM3JZ an O.R. procedure?

Yes. 0RWM3JZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RWM3JZ group to?

Depending on the principal diagnosis, 0RWM3JZ can group to MS-DRG 515, MS-DRG 516, MS-DRG 517, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0RWM3JZ?

The CMS GEMs map 0RWM3JZ to ICD-9-CM 81.97 (Revision of joint replacement of upper extremity).