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ICD-10-PCS 2027 procedure code

0W0637ZAlteration of Neck with Autologous Tissue Substitute, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Short description: Alteration of Neck with Autol Sub, 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 0W0637Z

0W0637Z is the ICD-10-PCS code for a alteration procedure on the neck using a percutaneous approach with autologous tissue 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 facial rhytidectomy, the ICD-9-CM procedure title it maps to (86.82).

For a different body part, codes include 0W0037Z (head), 0W0237Z (face), 0W0437Z (upper jaw), 0W0537Z (lower jaw), 0W0837Z (chest wall), 0W0F37Z (abdominal wall) and 4 more.

The same procedure with a different approach is coded 0W0607Z (open) and 0W0647Z (percutaneous endoscopic).

With a different device, use 0W063JZ (synthetic substitute), 0W063KZ (nonautologous tissue substitute) and 0W063ZZ (no device).

It is an operating-room procedure in the MS-DRG logic for DRG 143 (Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC), DRG 144 (Other Ear, Nose, Mouth and Throat O.R. Procedures with CC), DRG 145 (Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC), DRG 579 (Other Skin, Subcutaneous Tissue and Breast Procedures with MCC), DRG 580 (Other Skin, Subcutaneous Tissue and Breast Procedures with CC) and DRG 581 (Other Skin, Subcutaneous Tissue and Breast Procedures without CC/MCC), under the surgical categories “Other Ear, Nose, Mouth and Throat O.R. Procedures”, “Other Skin, Subcutaneous Tissue and Breast Procedures”, “Other O.R. Procedures for Injuries” and 1 more.

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
6Neck

Includes: Parapharyngeal space; Retropharyngeal space

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
7Autologous Tissue Substitute

Includes: Autograft; Cultured epidermal cell autograft; Epicel(R) cultured epidermal autograft

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 →
  • 86.82Facial rhytidectomyapproximate

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 0W0637Z

Is 0W0637Z a valid ICD-10-PCS code for 2027?

Yes. 0W0637Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0W0637Z an O.R. procedure?

Yes. 0W0637Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0W0637Z group to?

Depending on the principal diagnosis, 0W0637Z can group to MS-DRG 143, MS-DRG 144, MS-DRG 145, MS-DRG 579, MS-DRG 580 and MS-DRG 581.

What is the ICD-9 procedure code for 0W0637Z?

The CMS GEMs map 0W0637Z to ICD-9-CM 86.82 (Facial rhytidectomy).