ICD-10-PCS 2027 procedure code
0RWTXKZRevision of Nonautologous Tissue Substitute in Left Carpometacarpal Joint, External Approach
Short description: Revise of Nonaut Sub in L Carpometacarp Jt, Extern Approach
Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data
About 0RWTXKZ
0RWTXKZ is the ICD-10-PCS code for a revision procedure on the left carpometacarpal joint using an external 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 miscellaneous procedures, the ICD-9-CM procedure title it maps to (99.99).
For a different body part, codes include 0RW0XKZ (occipital-cervical joint), 0RW1XKZ (cervical vertebral joint), 0RW3XKZ (cervical vertebral disc), 0RW4XKZ (cervicothoracic vertebral joint), 0RW5XKZ (cervicothoracic vertebral disc), 0RW6XKZ (thoracic vertebral joint) and 22 more.
The same procedure with a different approach is coded 0RWT0KZ (open), 0RWT3KZ (percutaneous) and 0RWT4KZ (percutaneous endoscopic).
With a different device, use 0RWTX0Z (drainage device), 0RWTX3Z (infusion device), 0RWTX4Z (internal fixation device), 0RWTX5Z (external fixation device), 0RWTX7Z (autologous tissue substitute), 0RWTX8Z (spacer) and 1 more.
It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.
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
- TCarpometacarpal Joint, Left
- 5. Approach
- XExternal
Procedures performed directly on the skin or mucous membrane and procedures performed indirectly by the application of external force through the skin or mucous membrane
- 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
- 0RW0XKZOccipital-cervical Joint
- 0RW1XKZCervical Vertebral Joint
- 0RW3XKZCervical Vertebral Disc
- 0RW4XKZCervicothoracic Vertebral Joint
- 0RW5XKZCervicothoracic Vertebral Disc
- 0RW6XKZThoracic Vertebral Joint
- 0RW9XKZThoracic Vertebral Disc
- 0RWAXKZThoracolumbar Vertebral Joint
- 0RWBXKZThoracolumbar Vertebral Disc
- 0RWCXKZTemporomandibular Joint, Right
- 0RWDXKZTemporomandibular Joint, Left
- 0RWEXKZSternoclavicular Joint, Right
Different approach
ICD-9-CM equivalent
Converter →- 99.99Other miscellaneous proceduresapproximate
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)
- FY2018 (effective 10/1/2017): Title revised — was “Revision of Nonautologous Tissue Substitute in Left Metacarpocarpal Joint, External Approach”
Common questions about 0RWTXKZ
Is 0RWTXKZ a valid ICD-10-PCS code for 2027?
- Yes. 0RWTXKZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
What is the ICD-9 procedure code for 0RWTXKZ?
- The CMS GEMs map 0RWTXKZ to ICD-9-CM 99.99 (Other miscellaneous procedures).