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ICD-10-PCS/0NP/0NPW0JZ
Inpatient Procedure Code

0NPW0JZ

Removal of Synthetic Substitute from Facial Bone, Open Approach

Removal of Synth Sub from Facial Bone, Open Approach

Axis Breakdown

Every ICD-10-PCS code is exactly seven characters, one per axis. Each character's meaning is defined by its position in the code.

PositionValueMeaning
1
Section0

Medical and Surgical

2
Body SystemN

Head and Facial Bones

3
Root OperationP

Removal

Taking out or off a device from a body part

4
Body PartW

Facial Bone

5
Approach0

Open

6
DeviceJ

Synthetic Substitute

7
QualifierZ

No Qualifier

Potential MS-DRG Relationships (FY2026)

The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 8 MS-DRGs:

From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.

Contextual Map

Every relationship of 0NPW0JZ in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

PCS table

  • 0NP[PCS table]
  • [object Object] — Section: [object Object] [Section]: “[object Object]”
  • [object Object] — Body System: [object Object] [Body System]: “[object Object]”
  • [object Object] — Operation: [object Object] [Operation]: “[object Object]”

MS-DRG participation

  • DRG 113 — ORBITAL PROCEDURES WITH CC/MCC [MS-DRG]: “ORBITAL PROCEDURES WITH CC/MCC — Orbital Procedures (MDC 02)”
  • DRG 114 — ORBITAL PROCEDURES WITHOUT CC/MCC [MS-DRG]: “ORBITAL PROCEDURES WITHOUT CC/MCC — Orbital Procedures (MDC 02)”
  • DRG 907 — OTHER O.R. PROCEDURES FOR INJURIES WITH MCC [MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH MCC — Other O.R. Procedures for Injuries (MDC 21)”
  • DRG 908 — OTHER O.R. PROCEDURES FOR INJURIES WITH CC [MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH CC — Other O.R. Procedures for Injuries (MDC 21)”
  • DRG 909 — OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC [MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC — Other O.R. Procedures for Injuries (MDC 21)”
  • DRG 957 — OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC [MS-DRG]: “OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC — Other O.R. Procedures for Multiple Significant Trauma (MDC 24)”
  • DRG 958 — OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC [MS-DRG]: “OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC — Other O.R. Procedures for Multiple Significant Trauma (MDC 24)”
  • DRG 959 — OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC [MS-DRG]: “OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC — Other O.R. Procedures for Multiple Significant Trauma (MDC 24)”

MDC crossing · diagnoses (18315)

  • MDC 02 — Diseases and Disorders of the Eye [MDC crossing]: “Diseases and Disorders of the Eye — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
  • MDC 21 — Injuries, Poisonings and Toxic Effects of Drugs [MDC crossing]: “Injuries, Poisonings and Toxic Effects of Drugs — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
  • A18.50 — Tuberculosis of eye, unspecified [Same-MDC diagnosis]: “Tuberculosis of eye, unspecified — grouped in MDC 02, the diagnosis side of this code's crossing.” · check together
  • A18.51 — Tuberculous episcleritis [Same-MDC diagnosis]: “Tuberculous episcleritis — grouped in MDC 02, the diagnosis side of this code's crossing.” · check together
  • A18.52 — Tuberculous keratitis [Same-MDC diagnosis]: “Tuberculous keratitis — grouped in MDC 02, the diagnosis side of this code's crossing.” · check together
  • A18.53 — Tuberculous chorioretinitis [Same-MDC diagnosis]: “Tuberculous chorioretinitis — grouped in MDC 02, the diagnosis side of this code's crossing.” · check together
  • A18.54 — Tuberculous iridocyclitis [Same-MDC diagnosis]: “Tuberculous iridocyclitis — grouped in MDC 02, the diagnosis side of this code's crossing.” · check together
  • and 18310 more

Nearest codes

  • 0NP00JZ — Removal of Synthetic Substitute from Skull, Open Approach [One axis away]
  • 0NPB0JZ — Removal of Synthetic Substitute from Nasal Bone, Open Approach [One axis away]
  • 0NPW00Z — Removal of Drainage Device from Facial Bone, Open Approach [One axis away]
  • 0NPW04Z — Removal of Internal Fixation Device from Facial Bone, Open Approach [One axis away]
  • 0NPW05Z — Removal of External Fixation Device from Facial Bone, Open Approach [One axis away]
  • 0NPW07Z — Removal of Autologous Tissue Substitute from Facial Bone, Open Approach [One axis away]
  • 0NPW0KZ — Removal of Nonautologous Tissue Substitute from Facial Bone, Open Approach [One axis away]
  • 0NPW0MZ — Removal of Bone Growth Stimulator from Facial Bone, Open Approach [One axis away]

Change history

No changes recorded for this code — unchanged since the FY2026 (April) baseline of the change ledger.