0RW4X4Z ICD-10-PCS Code: Revision of Internal Fixation Device in Cervicothoracic Vertebral Joint, External Approach
Revision of Int Fix in C-thor Jt, Extern 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 SystemR | Upper Joints |
| 3 | Root OperationW | Revision Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device |
| 4 | Body Part4 | Cervicothoracic Vertebral Joint |
| 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.
0RW0X4Z — Revision of Internal Fixation Device in Occipital-cervical Joint, External Approach, 0RW1X4Z — Revision of Internal Fixation Device in Cervical Vertebral Joint, External Approach, 0RW6X4Z — Revision of Internal Fixation Device in Thoracic Vertebral Joint, External Approach, 0RWAX4Z — Revision of Internal Fixation Device in Thoracolumbar Vertebral Joint, External Approach, 0RWCX4Z — Revision of Internal Fixation Device in Right Temporomandibular Joint, External Approach, 0RWDX4Z — Revision of Internal Fixation Device in Left Temporomandibular Joint, External Approach, 0RWEX4Z — Revision of Internal Fixation Device in Right Sternoclavicular Joint, External Approach, 0RWFX4Z — Revision of Internal Fixation Device in Left Sternoclavicular Joint, External Approach, +16 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
0RW404Z — Revision of Internal Fixation Device in Cervicothoracic Vertebral Joint, Open Approach, 0RW434Z — Revision of Internal Fixation Device in Cervicothoracic Vertebral Joint, Percutaneous Approach, 0RW444Z — Revision of Internal Fixation Device in Cervicothoracic Vertebral Joint, Percutaneous Endoscopic Approach
Same operation — other Device
Same table and root operation, differing only in the device character.
0RW4X0Z — Revision of Drainage Device in Cervicothoracic Vertebral Joint, External Approach, 0RW4X3Z — Revision of Infusion Device in Cervicothoracic Vertebral Joint, External Approach, 0RW4X7Z — Revision of Autologous Tissue Substitute in Cervicothoracic Vertebral Joint, External Approach, 0RW4X8Z — Revision of Spacer in Cervicothoracic Vertebral Joint, External Approach, 0RW4XAZ — Revision of Interbody Fusion Device in Cervicothoracic Vertebral Joint, External Approach, 0RW4XJZ — Revision of Synthetic Substitute in Cervicothoracic Vertebral Joint, External Approach, 0RW4XKZ — Revision of Nonautologous Tissue Substitute in Cervicothoracic Vertebral Joint, External Approach
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Spine fusion (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.
0RS644Z — Reposition Thoracic Vertebral Joint with Internal Fixation Device, Percutaneous Endoscopic Approach, 0RS64ZZ — Reposition Thoracic Vertebral Joint, Percutaneous Endoscopic Approach, 0RS6X4Z — Reposition Thoracic Vertebral Joint with Internal Fixation Device, External Approach, 0RSA04Z — Reposition Thoracolumbar Vertebral Joint with Internal Fixation Device, Open Approach, 0RSA0ZZ — Reposition Thoracolumbar Vertebral Joint, Open Approach, 0RSA34Z — Reposition Thoracolumbar Vertebral Joint with Internal Fixation Device, Percutaneous Approach, 0RSA3ZZ — Reposition Thoracolumbar Vertebral Joint, Percutaneous Approach, 0RSA44Z — Reposition Thoracolumbar Vertebral Joint with Internal Fixation Device, Percutaneous Endoscopic Approach, 0RSA4ZZ — Reposition Thoracolumbar Vertebral Joint, Percutaneous Endoscopic Approach, 0RSAX4Z — Reposition Thoracolumbar Vertebral Joint with Internal Fixation Device, External Approach, 0SG0070 — Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach, 0SG0071 — Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach, 0SG007J — Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach, 0SG00A0 — Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Anterior Approach, Anterior Column, Open Approach, 0SG00AJ — Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach, 0SG00J0 — Fusion of Lumbar Vertebral Joint with Synthetic Substitute, Anterior Approach, Anterior Column, Open Approach, 0SG00J1 — Fusion of Lumbar Vertebral Joint with Synthetic Substitute, Posterior Approach, Posterior Column, Open Approach, 0SG00JJ — Fusion of Lumbar Vertebral Joint with Synthetic Substitute, Posterior Approach, Anterior Column, Open Approach, 0SG00K0 — Fusion of Lumbar Vertebral Joint with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach, 0SG00K1 — Fusion of Lumbar Vertebral Joint with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach, +599 more
Contextual Map
Every relationship of 0RW4X4Z 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
- 0RW[PCS table]— CMS ICD-10-PCS tables
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
- Upper Joints — Body System: Upper Joints[Body System]: “Upper Joints”— CMS ICD-10-PCS tables
- Revision — Operation: Revision[Operation]: “Revision”— CMS ICD-10-PCS tables
Clinical classification (CCSR)
- MST013 — Spine fusion[CCSR category]: “Spine fusion — Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
Nearest codes
- 0RW0X4Z — Revision of Internal Fixation Device in Occipital-cervical Joint, External Approach[One axis away]— CMS ICD-10-PCS tables
- 0RW1X4Z — Revision of Internal Fixation Device in Cervical Vertebral Joint, External Approach[One axis away]— CMS ICD-10-PCS tables
- 0RW404Z — Revision of Internal Fixation Device in Cervicothoracic Vertebral Joint, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0RW434Z — Revision of Internal Fixation Device in Cervicothoracic Vertebral Joint, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0RW444Z — Revision of Internal Fixation Device in Cervicothoracic Vertebral Joint, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0RW4X0Z — Revision of Drainage Device in Cervicothoracic Vertebral Joint, External Approach[One axis away]— CMS ICD-10-PCS tables
- 0RW4X3Z — Revision of Infusion Device in Cervicothoracic Vertebral Joint, External Approach[One axis away]— CMS ICD-10-PCS tables
- 0RW4X7Z — Revision of Autologous Tissue Substitute in Cervicothoracic Vertebral Joint, External Approach[One axis away]— CMS ICD-10-PCS tables
Change history
No changes recorded for this code. This ledger tracks additions, deletions and description changes from FY2026 (April) onward. Note changes are not tracked.
Read from: CMS ICD-10-PCS code tables, index and definitions — FY2026 (April); CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43; 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