ICD-10-PCS 2027 procedure code
0SWNX5ZRevision of External Fixation Device in Left Metatarsal-Phalangeal Joint, External Approach
Short description: Revision of Ext Fix in L Metatarsophal Jt, Extern 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 0SWNX5Z
0SWNX5Z is the ICD-10-PCS code for a revision procedure on the left metatarsal-phalangeal joint using an external 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 miscellaneous procedures, the ICD-9-CM procedure title it maps to (99.99).
For a different body part, codes include 0SW9X5Z (right hip joint), 0SWBX5Z (left hip joint), 0SWCX5Z (right knee joint), 0SWDX5Z (left knee joint), 0SWFX5Z (right ankle joint), 0SWGX5Z (left ankle joint) and 7 more.
The same procedure with a different approach is coded 0SWN05Z (open), 0SWN35Z (percutaneous) and 0SWN45Z (percutaneous endoscopic).
With a different device, use 0SWNX0Z (drainage device), 0SWNX3Z (infusion device), 0SWNX4Z (internal fixation device), 0SWNX7Z (autologous tissue substitute), 0SWNX8Z (spacer), 0SWNXJZ (synthetic substitute) 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
- 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
- NMetatarsal-Phalangeal Joint, Left
Includes: Metatarsophalangeal (MTP) joint
- 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
- 5External Fixation Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0SW9X5ZHip Joint, Right
- 0SWBX5ZHip Joint, Left
- 0SWCX5ZKnee Joint, Right
- 0SWDX5ZKnee Joint, Left
- 0SWFX5ZAnkle Joint, Right
- 0SWGX5ZAnkle Joint, Left
- 0SWHX5ZTarsal Joint, Right
- 0SWJX5ZTarsal Joint, Left
- 0SWKX5ZTarsometatarsal Joint, Right
- 0SWLX5ZTarsometatarsal Joint, Left
- 0SWMX5ZMetatarsal-Phalangeal Joint, Right
- 0SWPX5ZToe Phalangeal 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)
- No changes since FY2016.
Common questions about 0SWNX5Z
Is 0SWNX5Z a valid ICD-10-PCS code for 2027?
- Yes. 0SWNX5Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
What is the ICD-9 procedure code for 0SWNX5Z?
- The CMS GEMs map 0SWNX5Z to ICD-9-CM 99.99 (Other miscellaneous procedures).