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ICD-10-PCS 2027 procedure code

0W000JZAlteration of Head with Synthetic Substitute, Open Approach

✓ Valid for 2027O.R. procedure

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 0W000JZ

0W000JZ is the ICD-10-PCS code for a alteration procedure on the head using an open approach with synthetic substitute. In ICD-10-PCS, alteration means modifying the anatomic structure of a body part without affecting the function of the body part.

In plain terms, this corresponds to other repair and reconstruction of skin and subcutaneous tissue, the ICD-9-CM procedure title it maps to (86.89).

For a different body part, codes include 0W020JZ (face), 0W040JZ (upper jaw), 0W050JZ (lower jaw), 0W060JZ (neck), 0W080JZ (chest wall), 0W0F0JZ (abdominal wall) and 4 more.

The same procedure with a different approach is coded 0W003JZ (percutaneous) and 0W004JZ (percutaneous endoscopic).

With a different device, use 0W0007Z (autologous tissue substitute), 0W000KZ (nonautologous tissue substitute) and 0W000ZZ (no device).

It is an operating-room procedure in the MS-DRG logic for DRG 579 (Other Skin, Subcutaneous Tissue and Breast Procedures with MCC), DRG 580 (Other Skin, Subcutaneous Tissue and Breast Procedures with CC), DRG 581 (Other Skin, Subcutaneous Tissue and Breast 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 Skin, Subcutaneous Tissue and Breast Procedures” and “Other O.R. Procedures for Injuries”.

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
WAnatomical Regions, General
3. Operation
0Alteration

Modifying the anatomic structure of a body part without affecting the function of the body part

Principal purpose is to improve appearance

Includes: Face lift, breast augmentation

4. Body Part
0Head
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
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.

ICD-9-CM equivalent

Converter →
  • 86.89Other repair and reconstruction of skin and subcutaneous tissueapproximate

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 0W000JZ

Is 0W000JZ a valid ICD-10-PCS code for 2027?

Yes. 0W000JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0W000JZ an O.R. procedure?

Yes. 0W000JZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0W000JZ group to?

Depending on the principal diagnosis, 0W000JZ can group to MS-DRG 579, MS-DRG 580, MS-DRG 581, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0W000JZ?

The CMS GEMs map 0W000JZ to ICD-9-CM 86.89 (Other repair and reconstruction of skin and subcutaneous tissue).