0NPWX4ZRemoval of Internal Fixation Device from Facial Bone, External Approach
- Billable / Specific Code
0NPWX4Z is a billable ICD-10-PCS procedure code for Removal of Internal Fixation Device from Facial Bone, External Approach. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to 12 MS-DRGs. The root operation Removal involves taking out or off a device from a body part. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Bone fixation (excluding extremities).
Code Identity
PCS Table Breakdown
Each ICD-10-PCS code is built from seven characters, each an axis of the procedure. Hover or tap the icons for the official CMS definitions.
| Position | Designation | Value | Meaning |
|---|---|---|---|
| 1 | Section | 0 | Medical and Surgical |
| 2 | Body System | N | Head and Facial Bones |
| 3 | Operation | P | Removal |
| 4 | BodyPart | W | Facial Bone |
| 5 | Approach | X | External |
| 6 | Device | 4 | Internal Fixation Device |
| 7 | Qualifier | Z | No Qualifier |
In the ICD-10-PCS Alphabetic Index
These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:
Clinical Classification (CCSR)
AHRQ groups this procedure code into these clinical categories.
Convert to ICD-9-PCS
Closest ICD-9-PCS equivalents for this code under the General Equivalence Mappings.
Similar Procedure Codes
Questions About 0NPWX4Z
Is 0NPWX4Z a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Removal of Internal Fixation Device from Facial Bone, External Approach on inpatient claims from October 1, 2026 through September 30, 2027.
What do the characters in 0NPWX4Z mean?
The code breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character N is the Body System (Head and Facial Bones); the 3rd character P is the Operation (Removal); the 4th character W is the BodyPart (Facial Bone); the 5th character X is the Approach (External); the 6th character 4 is the Device (Internal Fixation Device); the 7th character Z is the Qualifier (No Qualifier).
What MS-DRG does 0NPWX4Z group to?
On an inpatient stay, Removal of Internal Fixation Device from Facial Bone, External Approach maps to MS-DRGs 143, 144, 145, 495, 496, 497, 907, 908, 909, 957, 958, 959, with relative weights from 1.1714 to 7.5502. The MS-DRG sets the fixed Medicare payment for the stay.
What is the ICD-9-PCS equivalent of 0NPWX4Z?
Under the General Equivalence Mappings, Removal of Internal Fixation Device from Facial Bone, External Approach crosswalks to ICD-9-PCS 76.97 (Removal of internal fixation device from facial bone). The mapping is approximate, so confirm it fits the documentation.
