0W0L4JZ

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 09 — Other Skin, Subcutaneous Tissue and Breast Procedures: DRG 579, DRG 580, DRG 581
• 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.

0W044JZ — Alteration of Upper Jaw with Synthetic Substitute, Percutaneous Endoscopic Approach, 0W054JZ — Alteration of Lower Jaw with Synthetic Substitute, Percutaneous Endoscopic Approach, 0W064JZ — Alteration of Neck with Synthetic Substitute, Percutaneous Endoscopic Approach, 0W084JZ — Alteration of Chest Wall with Synthetic Substitute, Percutaneous Endoscopic Approach, 0W0F4JZ — Alteration of Abdominal Wall with Synthetic Substitute, Percutaneous Endoscopic Approach, 0W0K4JZ — Alteration of Upper Back with Synthetic Substitute, Percutaneous Endoscopic Approach, 0W0M4JZ — Alteration of Male Perineum with Synthetic Substitute, Percutaneous Endoscopic Approach, 0W0N4JZ — Alteration of Female Perineum with Synthetic Substitute, Percutaneous Endoscopic Approach, +2 more

Same operation — other Approach

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

0W0L0JZ — Alteration of Lower Back with Synthetic Substitute, Open Approach, 0W0L3JZ — Alteration of Lower Back with Synthetic Substitute, Percutaneous Approach

Same operation — other Device

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

0W0L47Z — Alteration of Lower Back with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 0W0L4KZ — Alteration of Lower Back with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 0W0L4ZZ — Alteration of Lower Back, Percutaneous Endoscopic Approach

Contextual Map

Every relationship of 0W0L4JZ 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

• 0W0[PCS table]
• [object Object] — Section: [object Object] [Section]: “[object Object]”
• [object Object] — Body System: [object Object] [Body System]: “[object Object]”
• [object Object] — Operation: [object Object] [Operation]: “[object Object]”

MS-DRG participation

• DRG 579 — OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC [MS-DRG]: “OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC — Other Skin, Subcutaneous Tissue and Breast Procedures (MDC 09)”
• DRG 580 — OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC [MS-DRG]: “OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC — Other Skin, Subcutaneous Tissue and Breast Procedures (MDC 09)”
• DRG 581 — OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC [MS-DRG]: “OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC — Other Skin, Subcutaneous Tissue and Breast Procedures (MDC 09)”
• 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 (11835)

• MDC 09 — Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast [MDC crossing]: “Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast — 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.”
• A06.7 — Cutaneous amebiasis [Same-MDC diagnosis]: “Cutaneous amebiasis — grouped in MDC 09, the diagnosis side of this code's crossing.” · check together
• A18.4 — Tuberculosis of skin and subcutaneous tissue [Same-MDC diagnosis]: “Tuberculosis of skin and subcutaneous tissue — grouped in MDC 09, the diagnosis side of this code's crossing.” · check together
• A22.0 — Cutaneous anthrax [Same-MDC diagnosis]: “Cutaneous anthrax — grouped in MDC 09, the diagnosis side of this code's crossing.” · check together
• A31.1 — Cutaneous mycobacterial infection [Same-MDC diagnosis]: “Cutaneous mycobacterial infection — grouped in MDC 09, the diagnosis side of this code's crossing.” · check together
• A36.3 — Cutaneous diphtheria [Same-MDC diagnosis]: “Cutaneous diphtheria — grouped in MDC 09, the diagnosis side of this code's crossing.” · check together
• and 11830 more

Nearest codes

• 0W004JZ — Alteration of Head with Synthetic Substitute, Percutaneous Endoscopic Approach [One axis away]
• 0W024JZ — Alteration of Face with Synthetic Substitute, Percutaneous Endoscopic Approach [One axis away]
• 0W044JZ — Alteration of Upper Jaw with Synthetic Substitute, Percutaneous Endoscopic Approach [One axis away]
• 0W054JZ — Alteration of Lower Jaw with Synthetic Substitute, Percutaneous Endoscopic Approach [One axis away]
• 0W064JZ — Alteration of Neck with Synthetic Substitute, Percutaneous Endoscopic Approach [One axis away]
• 0W084JZ — Alteration of Chest Wall with Synthetic Substitute, Percutaneous Endoscopic Approach [One axis away]
• 0W0F4JZ — Alteration of Abdominal Wall with Synthetic Substitute, Percutaneous Endoscopic Approach [One axis away]
• 0W0K4JZ — Alteration of Upper Back with Synthetic Substitute, Percutaneous Endoscopic Approach [One axis away]