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ICD-10-PCS 2027 procedure code

0SW044ZRevision of Internal Fixation Device in Lumbar Vertebral Joint, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Revision of Int Fix in Lum 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 0SW044Z

0SW044Z is the ICD-10-PCS code for a revision procedure on the lumbar vertebral joint using a percutaneous endoscopic 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, other specified sites, revision of interspinous process device(s) and revision of pedicle-based dynamic stabilization device(s), the ICD-9-CM procedure titles it maps to (80.19, 84.81 and 84.83).

For a different body part, codes include 0SW344Z (lumbosacral joint), 0SW544Z (sacrococcygeal joint), 0SW644Z (coccygeal joint), 0SW744Z (right sacroiliac joint), 0SW844Z (left sacroiliac joint), 0SW944Z (right hip joint) and 13 more.

The same procedure with a different approach is coded 0SW004Z (open), 0SW034Z (percutaneous) and 0SW0X4Z (external).

With a different device, use 0SW040Z (drainage device), 0SW043Z (infusion device), 0SW047Z (autologous tissue substitute), 0SW048Z (spacer), 0SW04AZ (interbody fusion device), 0SW04JZ (synthetic substitute) 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
SLower 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
0Lumbar Vertebral Joint

Includes: Lumbar facet 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
4Internal Fixation Device
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 →
  • 80.19Other arthrotomy, other specified sitesapproximate
  • 84.81Revision of interspinous process device(s)approximate
  • 84.83Revision of pedicle-based dynamic stabilization device(s)approximate

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 0SW044Z

Is 0SW044Z a valid ICD-10-PCS code for 2027?

Yes. 0SW044Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0SW044Z an O.R. procedure?

Yes. 0SW044Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0SW044Z group to?

Depending on the principal diagnosis, 0SW044Z 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 0SW044Z?

The CMS GEMs map 0SW044Z to ICD-9-CM 80.19 (Other arthrotomy, other specified sites), 84.81 (Revision of interspinous process device(s)) and 84.83 (Revision of pedicle-based dynamic stabilization device(s)).