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ICD-10-PCS 2027 procedure code

0WFRXZZFragmentation in Genitourinary Tract, External Approach

✓ Valid for 2027

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 0WFRXZZ

0WFRXZZ is the ICD-10-PCS code for a fragmentation procedure on the genitourinary tract using an external approach. In ICD-10-PCS, fragmentation means breaking solid matter in a body part into pieces.

In plain terms, this corresponds to extracorporeal shockwave lithotripsy [ESWL] of the kidney, ureter and/or bladder, the ICD-9-CM procedure title it maps to (98.51).

For a different body part, codes include 0WF1XZZ (cranial cavity), 0WF3XZZ (oral cavity and throat), 0WF9XZZ (right pleural cavity), 0WFBXZZ (left pleural cavity), 0WFCXZZ (mediastinum), 0WFDXZZ (pericardial cavity) and 4 more.

The same procedure with a different approach is coded 0WFR0ZZ (open), 0WFR3ZZ (percutaneous), 0WFR4ZZ (percutaneous endoscopic), 0WFR7ZZ (via natural or artificial opening) and 0WFR8ZZ (via natural or artificial opening endoscopic).

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
WAnatomical Regions, General
3. Operation
FFragmentation

Breaking solid matter in a body part into pieces

Physical force (e.g., manual, ultrasonic) applied directly or indirectly is used to break the solid matter into pieces. The solid matter may be an abnormal byproduct of a biological function or a foreign body. The pieces of solid matter are not taken out

Includes: Extracorporeal shockwave lithotripsy, transurethral lithotripsy

4. Body Part
RGenitourinary Tract
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
ZNo Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

ICD-9-CM equivalent

Converter →
  • 98.51Extracorporeal shockwave lithotripsy [ESWL] of the kidney, ureter and/or bladderapproximate

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 0WFRXZZ

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

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

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

The CMS GEMs map 0WFRXZZ to ICD-9-CM 98.51 (Extracorporeal shockwave lithotripsy [ESWL] of the kidney, ureter and/or bladder).