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  • Version 2026
  • Billable Code
  • New Code

2026 ICD-10-PCS Procedure Code XW0U4XB

Introduction of Peptide Enhanced Bone Void Filler into Joints, Percutaneous Endoscopic Approach, New Technology Group 11

ICD-10-PCS Code:
XW0U4XB
ICD-10-PCS Code for:
Introduce Peptide Bone Vd Fill in Jt, Perc Endo, New Tech 1
Is Billable?
Yes - Valid for Submission
Code Navigator:

XW0U4XB is a billable procedure code used to specify the performance of introduction of peptide enhanced bone void filler into joints, percutaneous endoscopic approach, new technology group 11. The code is valid for the year 2026 for the submission of HIPAA-covered transactions. The procedure code involves putting in or on a therapeutic, diagnostic, nutritional, physiological, or prophylactic substance except blood or blood products.

XW0U4XB 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 new technology section and is part of the anatomical regions body system, classified under introduction operation. The applicable bodypart for this procedure code is joints.

Position Designation Character Label Procedures Notes
1 Section X New Technology
2 Body System W Anatomical Regions
3 Operation 0 Introduction

Involves:
Putting in or on a therapeutic, diagnostic, nutritional, physiological, or prophylactic substance except blood or blood products
4 BodyPart U Joints  
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/Substance/Technology X Peptide Enhanced Bone Void Filler Includes:
  • PearlMatrix P-15
7 Qualifier B New Technology Group 11

New 2026 ICD-10-PCS Code

XW0U4XB is new to ICD-10-PCS code set for the FY 2026, effective October 1, 2025.

Replacement Code

XW0U4XB replaces the following previously assigned ICD-10-PCS code(s):

  • 3E0U4GC - Introduce of Oth Therap Subst into Joint, Perc Endo Approach
  • 3E0U4GC - Introduce of Oth Therap Subst into Joint, Perc Endo Approach
  • 3E0U4GC - Introduce of Oth Therap Subst into Joint, Perc Endo Approach
  • 3E0U4GC - Introduce of Oth Therap Subst into Joint, Perc Endo Approach
  • 3E0U4GC - Introduce of Oth Therap Subst into Joint, Perc Endo Approach
  • 3E0U4GC - Introduce of Oth Therap Subst into Joint, Perc Endo Approac
  • 3E0U4GC - Introduce of Oth Therap Subst into Joint, Perc Endo Approac

Other ICD-10-PCS Codes Used for Introduction Joints

  • XW0U0GA Introduction of Vancomycin Hydrochloride and Tobramycin Sulfate Anti-Infective, Temporary Irrigation Spacer System into Joints, Open Approach, New Technology Group 10

  • XW0U0XB Introduction of Peptide Enhanced Bone Void Filler into Joints, Open Approach, New Technology Group 11

  • XW0U3XB Introduction of Peptide Enhanced Bone Void Filler into Joints, Percutaneous Approach, New Technology Group 11

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 2026 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2025 through September 30, 2026.

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.