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ICD-10-PCS 2027 procedure code

0WQL4ZZRepair Lower Back, Percutaneous Endoscopic 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 0WQL4ZZ

0WQL4ZZ is the ICD-10-PCS code for a repair procedure on the lower back using a percutaneous endoscopic approach. In ICD-10-PCS, repair means restoring, to the extent possible, a body part to its normal anatomic structure and function.

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 0WQ04ZZ (head), 0WQ24ZZ (face), 0WQ34ZZ (oral cavity and throat), 0WQ44ZZ (upper jaw), 0WQ54ZZ (lower jaw), 0WQ64ZZ (neck) and 6 more.

The same procedure with a different approach is coded 0WQL0ZZ (open), 0WQL3ZZ (percutaneous) and 0WQLXZZ (external).

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
QRepair

Restoring, to the extent possible, a body part to its normal anatomic structure and function

Used only when the method to accomplish the repair is not one of the other root operations

Includes: Colostomy takedown, suture of laceration

4. Body Part
LLower Back
5. Approach
4Percutaneous Endoscopic

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

6. Device
ZNo Device
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 0WQL4ZZ

Is 0WQL4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0WQL4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0WQL4ZZ an O.R. procedure?

Yes. 0WQL4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0WQL4ZZ group to?

Depending on the principal diagnosis, 0WQL4ZZ 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 0WQL4ZZ?

The CMS GEMs map 0WQL4ZZ to ICD-9-CM 86.89 (Other repair and reconstruction of skin and subcutaneous tissue).