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ICD-10-PCS 2027 procedure code

0WWC0JZRevision of Synthetic Substitute in Mediastinum, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Revision of Synth Sub in Mediastinum, Open 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 0WWC0JZ

0WWC0JZ is the ICD-10-PCS code for a revision procedure on the mediastinum using an open 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 incision of mediastinum, the ICD-9-CM procedure title it maps to (34.1).

For a different body part, codes include 0WW00JZ (head), 0WW10JZ (cranial cavity), 0WW20JZ (face), 0WW40JZ (upper jaw), 0WW50JZ (lower jaw), 0WW60JZ (neck) and 10 more.

The same procedure with a different approach is coded 0WWC3JZ (percutaneous), 0WWC4JZ (percutaneous endoscopic) and 0WWCXJZ (external).

With a different device, use 0WWC00Z (drainage device), 0WWC01Z (radioactive element), 0WWC03Z (infusion device), 0WWC07Z (autologous tissue substitute), 0WWC0GZ (defibrillator lead), 0WWC0KZ (nonautologous tissue substitute) and 1 more.

It is an operating-room procedure in the MS-DRG logic for DRG 166 (Other Respiratory System O.R. Procedures with MCC), DRG 167 (Other Respiratory System O.R. Procedures with CC), DRG 168 (Other Respiratory System O.R. Procedures without CC/MCC), DRG 361 (Other Circulatory System O.R. Procedures with MCC), DRG 362 (Other Circulatory System O.R. Procedures without MCC) and DRG 907 (Other O.R. Procedures for Injuries with MCC), under the surgical categories “Other Respiratory System O.R. Procedures”, “Other Circulatory System O.R. 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
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
CMediastinum

Includes: Mediastinal cavity; Mediastinal space

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.

MDC 05 · Diseases and Disorders of the Circulatory System · Other Circulatory System O.R. Procedures

ICD-9-CM equivalent

Converter →
  • 34.1Incision of mediastinumapproximate

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 0WWC0JZ

Is 0WWC0JZ a valid ICD-10-PCS code for 2027?

Yes. 0WWC0JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0WWC0JZ an O.R. procedure?

Yes. 0WWC0JZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0WWC0JZ group to?

Depending on the principal diagnosis, 0WWC0JZ can group to MS-DRG 166, MS-DRG 167, MS-DRG 168, MS-DRG 361, MS-DRG 362 and MS-DRG 907.

What is the ICD-9 procedure code for 0WWC0JZ?

The CMS GEMs map 0WWC0JZ to ICD-9-CM 34.1 (Incision of mediastinum).