0PW234Z ICD-10-PCS Code: Revision of Internal Fixation Device in 3 or More Ribs, Percutaneous Approach
Revision of Int Fix in 3+ Ribs, Perc 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.
| Position | Value | Meaning |
|---|---|---|
| 1 | Section0 | Medical and Surgical |
| 2 | Body SystemP | Upper Bones |
| 3 | Root OperationW | Revision Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device |
| 4 | Body Part2 | Ribs, 3 or More |
| 5 | Approach3 | Percutaneous |
| 6 | Device4 | Internal Fixation Device |
| 7 | QualifierZ | No Qualifier |
MS-DRG Grouper Relationships (FY2027)
Potential MS-DRG participation — not a DRG assignment.
The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 3 MS-DRGs:
- MDC 08 — Local Excision and Removal of Internal Fixation Devices Except Hip and Femur: DRG 495, DRG 496, DRG 497
From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.
Related Codes
Same operation — other Body Part
Same table and root operation, differing only in the body part character.
0PW034Z — Revision of Internal Fixation Device in Sternum, Percutaneous Approach, 0PW134Z — Revision of Internal Fixation Device in 1 to 2 Ribs, Percutaneous Approach, 0PW334Z — Revision of Internal Fixation Device in Cervical Vertebra, Percutaneous Approach, 0PW434Z — Revision of Internal Fixation Device in Thoracic Vertebra, Percutaneous Approach, 0PW534Z — Revision of Internal Fixation Device in Right Scapula, Percutaneous Approach, 0PW634Z — Revision of Internal Fixation Device in Left Scapula, Percutaneous Approach, 0PW734Z — Revision of Internal Fixation Device in Right Glenoid Cavity, Percutaneous Approach, 0PW834Z — Revision of Internal Fixation Device in Left Glenoid Cavity, Percutaneous Approach, +18 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
0PW204Z — Revision of Internal Fixation Device in 3 or More Ribs, Open Approach, 0PW244Z — Revision of Internal Fixation Device in 3 or More Ribs, Percutaneous Endoscopic Approach, 0PW2X4Z — Revision of Internal Fixation Device in 3 or More Ribs, External Approach
Same operation — other Device
Same table and root operation, differing only in the device character.
0PW237Z — Revision of Autologous Tissue Substitute in 3 or More Ribs, Percutaneous Approach, 0PW23JZ — Revision of Synthetic Substitute in 3 or More Ribs, Percutaneous Approach, 0PW23KZ — Revision of Nonautologous Tissue Substitute in 3 or More Ribs, Percutaneous Approach
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Bone fixation (excluding extremities) (Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures); listed here are the members in other PCS tables. Source: Clinical Classifications Software Refined (CCSR), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, November 2025.
0PS344Z — Reposition Cervical Vertebra with Internal Fixation Device, Percutaneous Endoscopic Approach, 0PS34ZZ — Reposition Cervical Vertebra, Percutaneous Endoscopic Approach, 0PS403Z — Reposition Thoracic Vertebra with Spinal Stabilization Device, Vertebral Body Tether, Open Approach, 0PS404Z — Reposition Thoracic Vertebra with Internal Fixation Device, Open Approach, 0PS40ZZ — Reposition Thoracic Vertebra, Open Approach, 0PS434Z — Reposition Thoracic Vertebra with Internal Fixation Device, Percutaneous Approach, 0PS43ZZ — Reposition Thoracic Vertebra, Percutaneous Approach, 0PS443Z — Reposition Thoracic Vertebra with Spinal Stabilization Device, Vertebral Body Tether, Percutaneous Endoscopic Approach, 0PS444Z — Reposition Thoracic Vertebra with Internal Fixation Device, Percutaneous Endoscopic Approach, 0PS44ZZ — Reposition Thoracic Vertebra, Percutaneous Endoscopic Approach, 0QH004Z — Insertion of Internal Fixation Device into Lumbar Vertebra, Open Approach, 0QH005Z — Insertion of External Fixation Device into Lumbar Vertebra, Open Approach, 0QH034Z — Insertion of Internal Fixation Device into Lumbar Vertebra, Percutaneous Approach, 0QH035Z — Insertion of External Fixation Device into Lumbar Vertebra, Percutaneous Approach, 0QH044Z — Insertion of Internal Fixation Device into Lumbar Vertebra, Percutaneous Endoscopic Approach, 0QH045Z — Insertion of External Fixation Device into Lumbar Vertebra, Percutaneous Endoscopic Approach, 0QH104Z — Insertion of Internal Fixation Device into Sacrum, Open Approach, 0QH105Z — Insertion of External Fixation Device into Sacrum, Open Approach, 0QH134Z — Insertion of Internal Fixation Device into Sacrum, Percutaneous Approach, 0QH135Z — Insertion of External Fixation Device into Sacrum, Percutaneous Approach, +538 more
Contextual Map
Every relationship of 0PW234Z 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.
Run 0PW234Z with these 5 related codes in Claim Check
PCS table
- 0PW[PCS table]— CMS ICD-10-PCS tables
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
- Upper Bones — Body System: Upper Bones[Body System]: “Upper Bones”— CMS ICD-10-PCS tables
- Revision — Operation: Revision[Operation]: “Revision”— CMS ICD-10-PCS tables
MS-DRG participation
- DRG 495 — LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC[MS-DRG]: “LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC — Local Excision and Removal of Internal Fixation Devices Except Hip and Femur (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 496 — LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC[MS-DRG]: “LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC — Local Excision and Removal of Internal Fixation Devices Except Hip and Femur (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 497 — LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC[MS-DRG]: “LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC — Local Excision and Removal of Internal Fixation Devices Except Hip and Femur (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
Clinical classification (CCSR)
- MST012 — Bone fixation (excluding extremities)[CCSR category]: “Bone fixation (excluding extremities) — Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
MDC crossing · diagnoses (25363)
- MDC 08 — Diseases and Disorders of the Musculoskeletal System and Connective Tissue[MDC crossing]: “Diseases and Disorders of the Musculoskeletal System and Connective Tissue — 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.”— CMS MS-DRG Definitions Manual · FY2027
- A02.23 — Salmonella arthritis[Same-MDC diagnosis]: “Salmonella arthritis — grouped in MDC 08, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- A02.24 — Salmonella osteomyelitis[Same-MDC diagnosis]: “Salmonella osteomyelitis — grouped in MDC 08, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- A18.01 — Tuberculosis of spine[Same-MDC diagnosis]: “Tuberculosis of spine — grouped in MDC 08, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- A18.02 — Tuberculous arthritis of other joints[Same-MDC diagnosis]: “Tuberculous arthritis of other joints — grouped in MDC 08, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- A18.03 — Tuberculosis of other bones[Same-MDC diagnosis]: “Tuberculosis of other bones — grouped in MDC 08, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- and 25358 more
Nearest codes
- 0PW034Z — Revision of Internal Fixation Device in Sternum, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0PW134Z — Revision of Internal Fixation Device in 1 to 2 Ribs, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0PW204Z — Revision of Internal Fixation Device in 3 or More Ribs, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0PW237Z — Revision of Autologous Tissue Substitute in 3 or More Ribs, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0PW23JZ — Revision of Synthetic Substitute in 3 or More Ribs, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0PW23KZ — Revision of Nonautologous Tissue Substitute in 3 or More Ribs, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0PW244Z — Revision of Internal Fixation Device in 3 or More Ribs, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0PW2X4Z — Revision of Internal Fixation Device in 3 or More Ribs, External Approach[One axis away]— CMS ICD-10-PCS tables
Change history
- FY2018 — Description revised[Change history]— CMS release files (code change ledger) · icd10pcs-fy2018
Change history
- FY2018 — October 1, 2017Description revisedRevision of Internal Fixation Device in Left Rib, Percutaneous Approach → Revision of Internal Fixation Device in 3 or More Ribs, Percutaneous ApproachFY2018 changes
Read from: CMS ICD-10-PCS code tables, index and definitions — FY2027; CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44; AHRQ HCUP Clinical Classifications Software Refined for ICD-10-PCS Procedures (hcup-us.ahrq.gov/toolssoftware/ccsr/PRCCSR_v2026-1.zip) — v2026.1. All data sources · How to read the labels · How MedCoder verifies its implementation
Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources