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Inpatient Procedure Code

0PW23JZ ICD-10-PCS Code: Revision of Synthetic Substitute in 3 or More Ribs, Percutaneous Approach

Revision of Synthetic Substitute in 3+ Ribs, Perc Approach

Check this code on a claim

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 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
DeviceJ

Synthetic Substitute

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.

0PW03JZ — Revision of Synthetic Substitute in Sternum, Percutaneous Approach, 0PW13JZ — Revision of Synthetic Substitute in 1 to 2 Ribs, Percutaneous Approach, 0PW33JZ — Revision of Synthetic Substitute in Cervical Vertebra, Percutaneous Approach, 0PW43JZ — Revision of Synthetic Substitute in Thoracic Vertebra, Percutaneous Approach, 0PW53JZ — Revision of Synthetic Substitute in Right Scapula, Percutaneous Approach, 0PW63JZ — Revision of Synthetic Substitute in Left Scapula, Percutaneous Approach, 0PW73JZ — Revision of Synthetic Substitute in Right Glenoid Cavity, Percutaneous Approach, 0PW83JZ — Revision of Synthetic Substitute in Left Glenoid Cavity, Percutaneous Approach, +18 more

Same operation — other Approach

Same table and root operation, differing only in the approach character.

0PW20JZ — Revision of Synthetic Substitute in 3 or More Ribs, Open Approach, 0PW24JZ — Revision of Synthetic Substitute in 3 or More Ribs, Percutaneous Endoscopic Approach, 0PW2XJZ — Revision of Synthetic Substitute in 3 or More Ribs, External Approach

Same operation — other Device

Same table and root operation, differing only in the device character.

0PW234Z — Revision of Internal Fixation Device in 3 or More Ribs, Percutaneous Approach, 0PW237Z — Revision of Autologous Tissue 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 Musculoskeletal device procedures, NEC (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.

+4687 more

Contextual Map

Every relationship of 0PW23JZ 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 0PW23JZ with these 5 related codes in Claim Check

PCS table

MS-DRG participation

Clinical classification (CCSR)

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

Change history

Change history

  • FY2018 — October 1, 2017
    Description revised
    Revision of Synthetic Substitute in Left Rib, Percutaneous Approach → Revision of Synthetic Substitute in 3 or More Ribs, Percutaneous Approach
    FY2018 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