0SWL04ZICD-10-PCS Code: Revision of Internal Fixation Device in Left Tarsometatarsal Joint, Open Approach
Revision of Int Fix in L Tarsometatars Jt, 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.
| Position | Value | Meaning |
|---|---|---|
| 1 | Section0 | Medical and Surgical |
| 2 | Body SystemS | Lower 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 PartL | Tarsometatarsal Joint, Left |
| 5 | Approach0 | Open |
| 6 | Device4 | Internal Fixation Device |
| 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 6 MS-DRGs:
- MDC 08 — Foot Procedures: DRG 503, DRG 504, DRG 505
- MDC 21 — Other O.R. Procedures for Injuries: DRG 907, DRG 908, DRG 909
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.
0SWG04Z — Revision of Internal Fixation Device in Left Ankle Joint, Open Approach, 0SWH04Z — Revision of Internal Fixation Device in Right Tarsal Joint, Open Approach, 0SWJ04Z — Revision of Internal Fixation Device in Left Tarsal Joint, Open Approach, 0SWK04Z — Revision of Internal Fixation Device in Right Tarsometatarsal Joint, Open Approach, 0SWM04Z — Revision of Internal Fixation Device in Right Metatarsal-Phalangeal Joint, Open Approach, 0SWN04Z — Revision of Internal Fixation Device in Left Metatarsal-Phalangeal Joint, Open Approach, 0SWP04Z — Revision of Internal Fixation Device in Right Toe Phalangeal Joint, Open Approach, 0SWQ04Z — Revision of Internal Fixation Device in Left Toe Phalangeal Joint, Open Approach, +11 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
0SWL34Z — Revision of Internal Fixation Device in Left Tarsometatarsal Joint, Percutaneous Approach, 0SWL44Z — Revision of Internal Fixation Device in Left Tarsometatarsal Joint, Percutaneous Endoscopic Approach, 0SWLX4Z — Revision of Internal Fixation Device in Left Tarsometatarsal Joint, External Approach
Same operation — other Device
Same table and root operation, differing only in the device character.
0SWL00Z — Revision of Drainage Device in Left Tarsometatarsal Joint, Open Approach, 0SWL03Z — Revision of Infusion Device in Left Tarsometatarsal Joint, Open Approach, 0SWL05Z — Revision of External Fixation Device in Left Tarsometatarsal Joint, Open Approach, 0SWL07Z — Revision of Autologous Tissue Substitute in Left Tarsometatarsal Joint, Open Approach, 0SWL08Z — Revision of Spacer in Left Tarsometatarsal Joint, Open Approach, 0SWL0JZ — Revision of Synthetic Substitute in Left Tarsometatarsal Joint, Open Approach, 0SWL0KZ — Revision of Nonautologous Tissue Substitute in Left Tarsometatarsal Joint, Open Approach
Contextual Map
Every relationship of 0SWL04Z 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
- 0SW[PCS table]
- Medical and Surgical — Section: Medical and Surgical [Section]: “Medical and Surgical”
- Lower Joints — Body System: Lower Joints [Body System]: “Lower Joints”
- Revision — Operation: Revision [Operation]: “Revision”
MS-DRG participation
- DRG 503 — FOOT PROCEDURES WITH MCC [MS-DRG]: “FOOT PROCEDURES WITH MCC — Foot Procedures (MDC 08)”
- DRG 504 — FOOT PROCEDURES WITH CC [MS-DRG]: “FOOT PROCEDURES WITH CC — Foot Procedures (MDC 08)”
- DRG 505 — FOOT PROCEDURES WITHOUT CC/MCC [MS-DRG]: “FOOT PROCEDURES WITHOUT CC/MCC — Foot Procedures (MDC 08)”
- 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)”
MDC crossing · diagnoses (31735)
- 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.”
- 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.”
- A02.23 — Salmonella arthritis [Same-MDC diagnosis]: “Salmonella arthritis — grouped in MDC 08, the diagnosis side of this code's crossing.” · check together
- A02.24 — Salmonella osteomyelitis [Same-MDC diagnosis]: “Salmonella osteomyelitis — grouped in MDC 08, the diagnosis side of this code's crossing.” · check together
- A18.01 — Tuberculosis of spine [Same-MDC diagnosis]: “Tuberculosis of spine — grouped in MDC 08, the diagnosis side of this code's crossing.” · check together
- 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.” · check together
- 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.” · check together
- and 31730 more
Nearest codes
- 0SW004Z — Revision of Internal Fixation Device in Lumbar Vertebral Joint, Open Approach [One axis away]
- 0SW304Z — Revision of Internal Fixation Device in Lumbosacral Joint, Open Approach [One axis away]
- 0SW504Z — Revision of Internal Fixation Device in Sacrococcygeal Joint, Open Approach [One axis away]
- 0SW604Z — Revision of Internal Fixation Device in Coccygeal Joint, Open Approach [One axis away]
- 0SW704Z — Revision of Internal Fixation Device in Right Sacroiliac Joint, Open Approach [One axis away]
- 0SW804Z — Revision of Internal Fixation Device in Left Sacroiliac Joint, Open Approach [One axis away]
- 0SW904Z — Revision of Internal Fixation Device in Right Hip Joint, Open Approach [One axis away]
- 0SWB04Z — Revision of Internal Fixation Device in Left Hip Joint, Open Approach [One axis away]
Change history
No changes recorded for this code — unchanged since the FY2026 (April) baseline of the change ledger.