ICD-10-PCS 2027 procedure code
0RWM4KZRevision of Nonautologous Tissue Substitute in Left Elbow Joint, Percutaneous Endoscopic Approach
Short description: Revision of Nonaut Sub in L Elbow 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 0RWM4KZ
0RWM4KZ is the ICD-10-PCS code for a revision procedure on the left elbow joint using a percutaneous endoscopic 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 0RW04KZ (occipital-cervical joint), 0RW14KZ (cervical vertebral joint), 0RW34KZ (cervical vertebral disc), 0RW44KZ (cervicothoracic vertebral joint), 0RW54KZ (cervicothoracic vertebral disc), 0RW64KZ (thoracic vertebral joint) and 22 more.
The same procedure with a different approach is coded 0RWM0KZ (open), 0RWM3KZ (percutaneous) and 0RWMXKZ (external).
With a different device, use 0RWM40Z (drainage device), 0RWM43Z (infusion device), 0RWM44Z (internal fixation device), 0RWM45Z (external fixation device), 0RWM47Z (autologous tissue substitute), 0RWM48Z (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
- MElbow Joint, Left
Includes: Distal humerus, involving joint; Humeroradial joint; Humeroulnar joint; Proximal radioulnar joint
- 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
- 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
Different body part
- 0RW04KZOccipital-cervical Joint
- 0RW14KZCervical Vertebral Joint
- 0RW34KZCervical Vertebral Disc
- 0RW44KZCervicothoracic Vertebral Joint
- 0RW54KZCervicothoracic Vertebral Disc
- 0RW64KZThoracic Vertebral Joint
- 0RW94KZThoracic Vertebral Disc
- 0RWA4KZThoracolumbar Vertebral Joint
- 0RWB4KZThoracolumbar Vertebral Disc
- 0RWC4KZTemporomandibular Joint, Right
- 0RWD4KZTemporomandibular Joint, Left
- 0RWE4KZSternoclavicular 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 →- 80.12Other arthrotomy, elbowapproximate
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 0RWM4KZ
Is 0RWM4KZ a valid ICD-10-PCS code for 2027?
- Yes. 0RWM4KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RWM4KZ an O.R. procedure?
- Yes. 0RWM4KZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RWM4KZ group to?
- Depending on the principal diagnosis, 0RWM4KZ 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 0RWM4KZ?
- The CMS GEMs map 0RWM4KZ to ICD-9-CM 80.12 (Other arthrotomy, elbow).