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Inpatient Procedure Code

0PW3X4Z ICD-10-PCS Code: Revision of Internal Fixation Device in Cervical Vertebra, External Approach

Revision of Int Fix in Cervcal Vertebra, Extern Approach

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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 Part3

Cervical Vertebra

5
ApproachX

External

6
Device4

Internal Fixation Device

7
QualifierZ

No Qualifier

Related Codes

Same operation — other Body Part

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

0PW0X4Z — Revision of Internal Fixation Device in Sternum, External Approach, 0PW1X4Z — Revision of Internal Fixation Device in 1 to 2 Ribs, External Approach, 0PW2X4Z — Revision of Internal Fixation Device in 3 or More Ribs, External Approach, 0PW4X4Z — Revision of Internal Fixation Device in Thoracic Vertebra, External Approach, 0PW5X4Z — Revision of Internal Fixation Device in Right Scapula, External Approach, 0PW6X4Z — Revision of Internal Fixation Device in Left Scapula, External Approach, 0PW7X4Z — Revision of Internal Fixation Device in Right Glenoid Cavity, External Approach, 0PW8X4Z — Revision of Internal Fixation Device in Left Glenoid Cavity, External Approach, +18 more

Same operation — other Approach

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

0PW304Z — Revision of Internal Fixation Device in Cervical Vertebra, Open Approach, 0PW334Z — Revision of Internal Fixation Device in Cervical Vertebra, Percutaneous Approach, 0PW344Z — Revision of Internal Fixation Device in Cervical Vertebra, Percutaneous Endoscopic Approach

Same operation — other Device

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

0PW3X7Z — Revision of Autologous Tissue Substitute in Cervical Vertebra, External Approach, 0PW3XJZ — Revision of Synthetic Substitute in Cervical Vertebra, External Approach, 0PW3XKZ — Revision of Nonautologous Tissue Substitute in Cervical Vertebra, External 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 0PW3X4Z 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

Clinical classification (CCSR)

Nearest codes

Change history

No changes recorded for this code. This ledger tracks additions, deletions and description changes from FY2016 onward. Note changes are not tracked.

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