ICD-10-PCS 2027 procedure code
0SW407ZRevision of Autologous Tissue Substitute in Lumbosacral Disc, Open Approach
Short description: Revision of Autol Sub in Lumsac Disc, 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 0SW407Z
0SW407Z is the ICD-10-PCS code for a revision procedure on the lumbosacral disc using an open approach with autologous 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, other specified sites, the ICD-9-CM procedure title it maps to (80.19).
For a different body part, codes include 0SW007Z (lumbar vertebral joint), 0SW207Z (lumbar vertebral disc), 0SW307Z (lumbosacral joint), 0SW507Z (sacrococcygeal joint), 0SW607Z (coccygeal joint), 0SW707Z (right sacroiliac joint) and 15 more.
The same procedure with a different approach is coded 0SW437Z (percutaneous), 0SW447Z (percutaneous endoscopic) and 0SW4X7Z (external).
With a different device, use 0SW400Z (drainage device), 0SW403Z (infusion device), 0SW40JZ (synthetic substitute) and 0SW40KZ (nonautologous tissue substitute).
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) and DRG 517 (Other Musculoskeletal System and Connective Tissue O.R. Procedures without CC/MCC), under the surgical category “Other Musculoskeletal System and Connective Tissue O.R. Procedures”.
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
- 4Lumbosacral Disc
- 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
- 7Autologous Tissue Substitute
Includes: Autograft; Cultured epidermal cell autograft; Epicel(R) cultured epidermal autograft
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0SW007ZLumbar Vertebral Joint
- 0SW207ZLumbar Vertebral Disc
- 0SW307ZLumbosacral Joint
- 0SW507ZSacrococcygeal Joint
- 0SW607ZCoccygeal Joint
- 0SW707ZSacroiliac Joint, Right
- 0SW807ZSacroiliac Joint, Left
- 0SW907ZHip Joint, Right
- 0SWB07ZHip Joint, Left
- 0SWC07ZKnee Joint, Right
- 0SWD07ZKnee Joint, Left
- 0SWF07ZAnkle 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 · Other Musculoskeletal System and Connective Tissue O.R. Procedures
ICD-9-CM equivalent
Converter →- 80.19Other arthrotomy, other specified sitesapproximate
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 0SW407Z
Is 0SW407Z a valid ICD-10-PCS code for 2027?
- Yes. 0SW407Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0SW407Z an O.R. procedure?
- Yes. 0SW407Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0SW407Z group to?
- Depending on the principal diagnosis, 0SW407Z can group to MS-DRG 515, MS-DRG 516 and MS-DRG 517.
What is the ICD-9 procedure code for 0SW407Z?
- The CMS GEMs map 0SW407Z to ICD-9-CM 80.19 (Other arthrotomy, other specified sites).