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ICD-10-PCS 2027 procedure code

0UWH3JZRevision of Synthetic Substitute in Vagina and Cul-de-sac, Percutaneous Approach

✓ Valid for 2027O.R. procedureFemale only

Short description: Revision of Synth Sub in Vagina & Cul-de-sac, 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 0UWH3JZ

0UWH3JZ is the ICD-10-PCS code for a revision procedure on the vagina and cul-de-sac using a percutaneous approach with synthetic 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 Culdotomy and other vaginotomy, the ICD-9-CM procedure titles it maps to (70.12 and 70.14).

For a different body part, codes include 0UW83JZ (fallopian tube) and 0UWD3JZ (uterus and cervix).

The same procedure with a different approach is coded 0UWH0JZ (open), 0UWH4JZ (percutaneous endoscopic), 0UWH7JZ (via natural or artificial opening), 0UWH8JZ (via natural or artificial opening endoscopic) and 0UWHXJZ (external).

With a different device, use 0UWH30Z (drainage device), 0UWH31Z (radioactive element), 0UWH33Z (infusion device), 0UWH37Z (autologous tissue substitute), 0UWH3DZ (intraluminal device), 0UWH3KZ (nonautologous tissue substitute) and 1 more.

It is an operating-room procedure in the MS-DRG logic for DRG 746 (Vagina, Cervix and Vulva Procedures with CC/MCC) and DRG 747 (Vagina, Cervix and Vulva Procedures without CC/MCC), under the surgical category “Vagina, Cervix and Vulva 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
UFemale Reproductive System
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
HVagina and Cul-de-sac
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
JSynthetic Substitute

Includes: AbioCor(R) Total Replacement Heart; AMPLATZER(R) Muscular VSD Occluder; Annuloplasty ring; Bard(R) Composix(R) (E/X)(LP) mesh; Bard(R) Composix(R) Kugel(R) patch; Bard(R) Dulex(tm) mesh; Bard(R) Ventralex(tm) hernia patch; Barricaid(R) Annular Closure Device (ACD); BRYAN(R) Cervical Disc System; Corvia IASD(R); Ex-PRESS(tm) mini glaucoma shunt; Flexible Composite Mesh; GORE(R) ACUSEAL Vascular Graft; GORE(R) CARDIOFORM Septal Occluder; GORE(R) DUALMESH(R); GORE(R) PROPATEN(R) Vascular Graft; GORE(R) VIATORR(R) TIPS Endoprosthesis; Holter valve ventricular shunt; IASD(R) (InterAtrial Shunt Device), Corvia; InterAtrial Shunt Device IASD(R), Corvia; LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System; MitraClip valve repair system; Nitinol framed polymer mesh; Open Pivot (mechanical) valve; Open Pivot Aortic Valve Graft (AVG); Partially absorbable mesh; PHYSIOMESH(tm) Flexible Composite Mesh; Polymethylmethacrylate (PMMA); Polypropylene mesh; PRESTIGE(R) Cervical Disc; PROCEED(tm) Ventral Patch; Prodisc-C; Prodisc-L; PROLENE Polypropylene Hernia System (PHS); Rebound HRD(R) (Hernia Repair Device); SynCardia Total Artificial Heart; Total artificial (replacement) heart; ULTRAPRO Hernia System (UHS); ULTRAPRO Partially Absorbable Lightweight Mesh; ULTRAPRO Plug; V-Wave Interatrial Shunt System; Ventrio(tm) Hernia Patch; Zimmer(R) NexGen(R) LPS Mobile Bearing Knee; Zimmer(R) NexGen(R) LPS-Flex Mobile Knee

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.

MDC 13 · Diseases and Disorders of the Female Reproductive System · Vagina, Cervix and Vulva Procedures

ICD-9-CM equivalent

Converter →
  • 70.12Culdotomyapproximate
  • 70.14Other vaginotomyapproximate

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 0UWH3JZ

Is 0UWH3JZ a valid ICD-10-PCS code for 2027?

Yes. 0UWH3JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0UWH3JZ an O.R. procedure?

Yes. 0UWH3JZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0UWH3JZ group to?

Depending on the principal diagnosis, 0UWH3JZ can group to MS-DRG 746 and MS-DRG 747.

What is the ICD-9 procedure code for 0UWH3JZ?

The CMS GEMs map 0UWH3JZ to ICD-9-CM 70.12 (Culdotomy) and 70.14 (Other vaginotomy).