Version 2024
Billable Code
Procedures For Males Only

2024 ICD-10-CM Procedure Code 0W4M0K0

Creation of Vagina in Male Perineum with Nonautologous Tissue Substitute, Open Approach

ICD-10-PCS Code:
0W4M0K0
ICD-10-PCS Code for:
Create Vagina in Male Perineum w Nonaut Sub, Open
Is Billable?
Yes - Valid for Submission
Code Navigator:

0W4M0K0 is a billable procedure code used to specify the performance of creation of vagina in male perineum with nonautologous tissue substitute, open approach. The code is valid for the year 2024 for the submission of HIPAA-covered transactions.

0W4M0K0 PCS Table

In an PCS table each code is represented by up seven alphanumeric characters, with each character in the table respresenting different aspects of the procedure. In the table provided below, each row represents an individual character and includes information about the character's position, designation, label, and procedure notes. For this PCS table the procedure code is in the medical and surgical section and is part of the anatomical regions, general body system, classified under creation operation. The applicable bodypart for this procedure code is perineum, male.

Position Designation Character Label Procedures Notes
1 Section 0 Medical and Surgical
2 Body System W Anatomical Regions, General
3 Operation 4 Creation

Involves:
Putting in or on biological or synthetic material to form a new body part that to the extent possible replicates the anatomic structure or function of an absent body part

Explanation:
Used for gender reassignment surgery and corrective procedures in individuals with congenital anomalies

Includes:
  • Creation of vagina in a male, creation of right and left atrioventricular valve from common atrioventricular valve
4 BodyPart M Perineum, Male  
5 Approach 0 Open

Involves:
Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

6 Device K Nonautologous Tissue Substitute Includes:
  • Acellular Hydrated Dermis
  • Bone bank bone graft
  • Cook Biodesign(R) Fistula Plug(s)
  • Cook Biodesign(R) Hernia Graft(s)
  • Cook Biodesign(R) Layered Graft(s)
  • Cook Zenapro(tm) Layered Graft(s)
  • MIRODERM(tm) Biologic Wound Matrix
  • Tissue bank graft
7 Qualifier 0 Vagina

Clinical Classification

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

Convert 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:

Other ICD-10-PCS Codes Used for Creation Perineum, Male

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. The 2024 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2023 through September 30, 2024.

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.