ICD-10-PCS 2027 procedure code
0RWN04ZRevision of Internal Fixation Device in Right Wrist Joint, Open Approach
Short description: Revision of Int Fix in R Wrist 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 0RWN04Z
0RWN04Z is the ICD-10-PCS code for a revision procedure on the right wrist joint using an open approach with internal 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, wrist, the ICD-9-CM procedure title it maps to (80.13).
For a different body part, codes include 0RW004Z (occipital-cervical joint), 0RW104Z (cervical vertebral joint), 0RW404Z (cervicothoracic vertebral joint), 0RW604Z (thoracic vertebral joint), 0RWA04Z (thoracolumbar vertebral joint), 0RWC04Z (right temporomandibular joint) and 18 more.
The same procedure with a different approach is coded 0RWN34Z (percutaneous), 0RWN44Z (percutaneous endoscopic) and 0RWNX4Z (external).
With a different device, use 0RWN00Z (drainage device), 0RWN03Z (infusion device), 0RWN05Z (external fixation device), 0RWN07Z (autologous tissue substitute), 0RWN08Z (spacer), 0RWN0JZ (synthetic substitute) and 1 more.
It is an operating-room procedure in the MS-DRG logic for DRG 506 (Major Thumb or Joint Procedures) and DRG 906 (Hand Procedures for Injuries), under the surgical categories “Major Thumb or Joint Procedures” and “Hand 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
- NWrist 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
- 4Internal Fixation Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0RW004ZOccipital-cervical Joint
- 0RW104ZCervical Vertebral Joint
- 0RW404ZCervicothoracic Vertebral Joint
- 0RW604ZThoracic Vertebral Joint
- 0RWA04ZThoracolumbar Vertebral Joint
- 0RWC04ZTemporomandibular Joint, Right
- 0RWD04ZTemporomandibular Joint, Left
- 0RWE04ZSternoclavicular Joint, Right
- 0RWF04ZSternoclavicular Joint, Left
- 0RWG04ZAcromioclavicular Joint, Right
- 0RWH04ZAcromioclavicular Joint, Left
- 0RWJ04ZShoulder 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 Thumb or Joint Procedures
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Hand Procedures for Injuries
ICD-9-CM equivalent
Converter →- 80.13Other arthrotomy, wristapproximate
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 0RWN04Z
Is 0RWN04Z a valid ICD-10-PCS code for 2027?
- Yes. 0RWN04Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RWN04Z an O.R. procedure?
- Yes. 0RWN04Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RWN04Z group to?
- Depending on the principal diagnosis, 0RWN04Z can group to MS-DRG 506 and MS-DRG 906.
What is the ICD-9 procedure code for 0RWN04Z?
- The CMS GEMs map 0RWN04Z to ICD-9-CM 80.13 (Other arthrotomy, wrist).