2022 ICD-10-PCS Procedure Code 0NW044Z

Revision of Internal Fixation Device in Skull, Percutaneous Endoscopic Approach

Version 2021
Billable Code

Valid for Submission

ICD-10-PCS:0NW044Z
Short Description:Revision of Int Fix in Skull, Perc Endo Approach
Long Description:Revision of Internal Fixation Device in Skull, Percutaneous Endoscopic Approach

0NW044Z is a billable procedure code used to specify the performance of revision of internal fixation device in skull, percutaneous endoscopic approach. The code is valid for the year 2022 for the submission of HIPAA-covered transactions.

The procedure code 0NW044Z is in the medical and surgical section and is part of the head and facial bones body system, classified under the revision operation. The applicable bodypart is skull.

ICD-10-PCS Details

Position Designation Character Label Notes
1 Section 0 Medical and Surgical
2 Body System N Head and Facial Bones
3 Operation W Revision

Involves:
Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device

Explanation:
Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as a screw or pin

Includes:
  • Adjustment of position of pacemaker lead, recementing of hip prosthesis
4 BodyPart 0 Skull
5 Approach 4 Percutaneous Endoscopic

Involves:
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

6 Device 4 Internal Fixation Device
7 Qualifier Z No Qualifier

Explanation:
The value Z is used for the seventh character to indicate that a specific qualifier does not apply to the procedure.

Diagnostic Related Groups - MS-DRG Mapping

The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The procedure code 0NW044Z is grouped in the following groups for version MS-DRG V38.0 applicable from 10/01/2021 through 09/30/2022.

MS-DRG MS-DRG Title MCD Relative Weight
023CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR015.6719
024CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC013.939
025CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC014.4974
026CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC013.062
027CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC012.5143

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Convert 0NW044Z to ICD-9-PCS

The following crosswalk between ICD-10-PCS to ICD-9-PCS is based based on the General Equivalence Mappings (GEMS) information:

What is ICD-10-PCS?

The ICD-10 Procedure Coding System (ICD-10-PCS) is a catalog of procedural codes used by medical professionals for hospital inpatient healthcare settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates. These 2022 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2021 through September 30, 2022.

Each ICD-10-PCS code has a structure of seven alphanumeric characters and contains no decimals. The first character defines the major "section". Depending on the "section" the second through seventh characters mean different things.