ICD-10-PCS 2027 procedure code
0RWN35ZRevision of External Fixation Device in Right Wrist Joint, Percutaneous Approach
Short description: Revision of Ext Fix in R Wrist 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 0RWN35Z
0RWN35Z is the ICD-10-PCS code for a revision procedure on the right wrist joint using a percutaneous 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, wrist, the ICD-9-CM procedure title it maps to (80.13).
For a different body part, codes include 0RWL35Z (right elbow joint), 0RWM35Z (left elbow joint), 0RWP35Z (left wrist joint), 0RWQ35Z (right carpal joint), 0RWR35Z (left carpal joint), 0RWS35Z (right carpometacarpal joint) and 5 more.
The same procedure with a different approach is coded 0RWN05Z (open), 0RWN45Z (percutaneous endoscopic) and 0RWNX5Z (external).
With a different device, use 0RWN30Z (drainage device), 0RWN33Z (infusion device), 0RWN34Z (internal fixation device), 0RWN37Z (autologous tissue substitute), 0RWN38Z (spacer), 0RWN3JZ (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
- 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
- 5External Fixation Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0RWL35ZElbow Joint, Right
- 0RWM35ZElbow Joint, Left
- 0RWP35ZWrist Joint, Left
- 0RWQ35ZCarpal Joint, Right
- 0RWR35ZCarpal Joint, Left
- 0RWS35ZCarpometacarpal Joint, Right
- 0RWT35ZCarpometacarpal Joint, Left
- 0RWU35ZMetacarpophalangeal Joint, Right
- 0RWV35ZMetacarpophalangeal Joint, Left
- 0RWW35ZFinger Phalangeal Joint, Right
- 0RWX35ZFinger Phalangeal Joint, Left
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 0RWN35Z
Is 0RWN35Z a valid ICD-10-PCS code for 2027?
- Yes. 0RWN35Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0RWN35Z an O.R. procedure?
- Yes. 0RWN35Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0RWN35Z group to?
- Depending on the principal diagnosis, 0RWN35Z can group to MS-DRG 506 and MS-DRG 906.
What is the ICD-9 procedure code for 0RWN35Z?
- The CMS GEMs map 0RWN35Z to ICD-9-CM 80.13 (Other arthrotomy, wrist).