0W0407ZAlteration of Upper Jaw with Autologous Tissue Substitute, Open Approach
- Billable / Specific Code
0W0407Z is a billable ICD-10-PCS procedure code for Alteration of Upper Jaw with Autologous Tissue Substitute, Open Approach. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to 12 MS-DRGs. The root operation Alteration involves modifying the anatomic structure of a body part without affecting the function of the body part.
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 | W | Anatomical Regions, General |
| 3 | Operation | 0 | Alteration |
| 4 | BodyPart | 4 | Upper Jaw |
| 5 | Approach | 0 | Open |
| 6 | Device | 7 | Autologous Tissue Substitute |
| 7 | Qualifier | Z | No Qualifier |
Convert to ICD-9-PCS
Closest ICD-9-PCS equivalents for 0W0407Z under the General Equivalence Mappings.
Similar Procedure Codes
Questions About 0W0407Z
Is 0W0407Z a billable code?
Yes. 0W0407Z is a complete seven-character ICD-10-PCS code, specific enough to report Alteration of Upper Jaw with Autologous Tissue Substitute, Open Approach on inpatient claims from October 1, 2025 through September 30, 2026.
What do the characters in 0W0407Z mean?
0W0407Z breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character W is the Body System (Anatomical Regions, General); the 3rd character 0 is the Operation (Alteration); the 4th character 4 is the BodyPart (Upper Jaw); the 5th character 0 is the Approach (Open); the 6th character 7 is the Device (Autologous Tissue Substitute); the 7th character Z is the Qualifier (No Qualifier).
What MS-DRG does 0W0407Z group to?
On an inpatient stay, Alteration of Upper Jaw with Autologous Tissue Substitute, Open Approach maps to MS-DRGs 143, 144, 145, 515, 516, 517, 907, 908, 909, 957, 958, 959, with relative weights from 1.2023 to 7.6199. The MS-DRG sets the fixed Medicare payment for the stay.
What is the ICD-9-PCS equivalent of 0W0407Z?
Under the General Equivalence Mappings, Alteration of Upper Jaw with Autologous Tissue Substitute, Open Approach crosswalks to ICD-9-PCS 76.68. The mapping is approximate, so confirm it fits the documentation.
