ICD-10-PCS Tabular Index · Section 0 · FY 2026 0W0

0W0 Alteration - Anatomical Regions, General ICD-10-PCS

The 0W0 code range contains 133 ICD-10-PCS codes for Alteration procedures on the anatomical regions, general. 132 of the codes are billable and valid for inpatient claim submission in fiscal year 2026.

✓ Built from the official CMS FY 2026 datasetEffective Oct 1, 2025 – Sep 30, 2026
133
Procedure Codes
132
Billable Codes
0W0
Characters 1–3
0W
Parent Body System

Root Operation Definition

Alteration: Modifying the anatomic structure of a body part without affecting the function of the body part.

ICD-10-PCS

Codes in the 0W0 Range 133 codes · 132 billable

133 of 133 shown
  • 0W0 Anatomical Regions, General, AlterationNon-billable header
  • 0W0007Z Alteration of Head with Autologous Tissue Substitute, Open Approach
  • 0W000JZ Alteration of Head with Synthetic Substitute, Open Approach
  • 0W000KZ Alteration of Head with Nonautologous Tissue Substitute, Open Approach
  • 0W000ZZ Alteration of Head, Open Approach
  • 0W0037Z Alteration of Head with Autologous Tissue Substitute, Percutaneous Approach
  • 0W003JZ Alteration of Head with Synthetic Substitute, Percutaneous Approach
  • 0W003KZ Alteration of Head with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0W003ZZ Alteration of Head, Percutaneous Approach
  • 0W0047Z Alteration of Head with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0W004JZ Alteration of Head with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0W004KZ Alteration of Head with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0W004ZZ Alteration of Head, Percutaneous Endoscopic Approach
  • 0W0207Z Alteration of Face with Autologous Tissue Substitute, Open Approach
  • 0W020JZ Alteration of Face with Synthetic Substitute, Open Approach
  • 0W020KZ Alteration of Face with Nonautologous Tissue Substitute, Open Approach
  • 0W020ZZ Alteration of Face, Open Approach
  • 0W0237Z Alteration of Face with Autologous Tissue Substitute, Percutaneous Approach
  • 0W023JZ Alteration of Face with Synthetic Substitute, Percutaneous Approach
  • 0W023KZ Alteration of Face with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0W023ZZ Alteration of Face, Percutaneous Approach
  • 0W0247Z Alteration of Face with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0W024JZ Alteration of Face with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0W024KZ Alteration of Face with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0W024ZZ Alteration of Face, Percutaneous Endoscopic Approach
  • 0W0407Z Alteration of Upper Jaw with Autologous Tissue Substitute, Open Approach
  • 0W040JZ Alteration of Upper Jaw with Synthetic Substitute, Open Approach
  • 0W040KZ Alteration of Upper Jaw with Nonautologous Tissue Substitute, Open Approach
  • 0W040ZZ Alteration of Upper Jaw, Open Approach
  • 0W0437Z Alteration of Upper Jaw with Autologous Tissue Substitute, Percutaneous Approach
  • 0W043JZ Alteration of Upper Jaw with Synthetic Substitute, Percutaneous Approach
  • 0W043KZ Alteration of Upper Jaw with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0W043ZZ Alteration of Upper Jaw, Percutaneous Approach
  • 0W0447Z Alteration of Upper Jaw with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0W044JZ Alteration of Upper Jaw with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0W044KZ Alteration of Upper Jaw with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0W044ZZ Alteration of Upper Jaw, Percutaneous Endoscopic Approach
  • 0W0507Z Alteration of Lower Jaw with Autologous Tissue Substitute, Open Approach
  • 0W050JZ Alteration of Lower Jaw with Synthetic Substitute, Open Approach
  • 0W050KZ Alteration of Lower Jaw with Nonautologous Tissue Substitute, Open Approach
  • 0W050ZZ Alteration of Lower Jaw, Open Approach
  • 0W0537Z Alteration of Lower Jaw with Autologous Tissue Substitute, Percutaneous Approach
  • 0W053JZ Alteration of Lower Jaw with Synthetic Substitute, Percutaneous Approach
  • 0W053KZ Alteration of Lower Jaw with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0W053ZZ Alteration of Lower Jaw, Percutaneous Approach
  • 0W0547Z Alteration of Lower Jaw with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0W054JZ Alteration of Lower Jaw with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0W054KZ Alteration of Lower Jaw with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0W054ZZ Alteration of Lower Jaw, Percutaneous Endoscopic Approach
  • 0W0607Z Alteration of Neck with Autologous Tissue Substitute, Open Approach
  • 0W060JZ Alteration of Neck with Synthetic Substitute, Open Approach
  • 0W060KZ Alteration of Neck with Nonautologous Tissue Substitute, Open Approach
  • 0W060ZZ Alteration of Neck, Open Approach
  • 0W0637Z Alteration of Neck with Autologous Tissue Substitute, Percutaneous Approach
  • 0W063JZ Alteration of Neck with Synthetic Substitute, Percutaneous Approach
  • 0W063KZ Alteration of Neck with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0W063ZZ Alteration of Neck, Percutaneous Approach
  • 0W0647Z Alteration of Neck with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0W064JZ Alteration of Neck with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0W064KZ Alteration of Neck with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0W064ZZ Alteration of Neck, Percutaneous Endoscopic Approach
  • 0W0807Z Alteration of Chest Wall with Autologous Tissue Substitute, Open Approach
  • 0W080JZ Alteration of Chest Wall with Synthetic Substitute, Open Approach
  • 0W080KZ Alteration of Chest Wall with Nonautologous Tissue Substitute, Open Approach
  • 0W080ZZ Alteration of Chest Wall, Open Approach
  • 0W0837Z Alteration of Chest Wall with Autologous Tissue Substitute, Percutaneous Approach
  • 0W083JZ Alteration of Chest Wall with Synthetic Substitute, Percutaneous Approach
  • 0W083KZ Alteration of Chest Wall with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0W083ZZ Alteration of Chest Wall, Percutaneous Approach
  • 0W0847Z Alteration of Chest Wall with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0W084JZ Alteration of Chest Wall with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0W084KZ Alteration of Chest Wall with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0W084ZZ Alteration of Chest Wall, Percutaneous Endoscopic Approach
  • 0W0F07Z Alteration of Abdominal Wall with Autologous Tissue Substitute, Open Approach
  • 0W0F0JZ Alteration of Abdominal Wall with Synthetic Substitute, Open Approach
  • 0W0F0KZ Alteration of Abdominal Wall with Nonautologous Tissue Substitute, Open Approach
  • 0W0F0ZZ Alteration of Abdominal Wall, Open Approach
  • 0W0F37Z Alteration of Abdominal Wall with Autologous Tissue Substitute, Percutaneous Approach
  • 0W0F3JZ Alteration of Abdominal Wall with Synthetic Substitute, Percutaneous Approach
  • 0W0F3KZ Alteration of Abdominal Wall with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0W0F3ZZ Alteration of Abdominal Wall, Percutaneous Approach
  • 0W0F47Z Alteration of Abdominal Wall with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0W0F4JZ Alteration of Abdominal Wall with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0W0F4KZ Alteration of Abdominal Wall with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0W0F4ZZ Alteration of Abdominal Wall, Percutaneous Endoscopic Approach
  • 0W0K07Z Alteration of Upper Back with Autologous Tissue Substitute, Open Approach
  • 0W0K0JZ Alteration of Upper Back with Synthetic Substitute, Open Approach
  • 0W0K0KZ Alteration of Upper Back with Nonautologous Tissue Substitute, Open Approach
  • 0W0K0ZZ Alteration of Upper Back, Open Approach
  • 0W0K37Z Alteration of Upper Back with Autologous Tissue Substitute, Percutaneous Approach
  • 0W0K3JZ Alteration of Upper Back with Synthetic Substitute, Percutaneous Approach
  • 0W0K3KZ Alteration of Upper Back with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0W0K3ZZ Alteration of Upper Back, Percutaneous Approach
  • 0W0K47Z Alteration of Upper Back with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0W0K4JZ Alteration of Upper Back with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0W0K4KZ Alteration of Upper Back with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0W0K4ZZ Alteration of Upper Back, Percutaneous Endoscopic Approach
  • 0W0L07Z Alteration of Lower Back with Autologous Tissue Substitute, Open Approach
  • 0W0L0JZ Alteration of Lower Back with Synthetic Substitute, Open Approach
  • 0W0L0KZ Alteration of Lower Back with Nonautologous Tissue Substitute, Open Approach
  • 0W0L0ZZ Alteration of Lower Back, Open Approach
  • 0W0L37Z Alteration of Lower Back with Autologous Tissue Substitute, Percutaneous Approach
  • 0W0L3JZ Alteration of Lower Back with Synthetic Substitute, Percutaneous Approach
  • 0W0L3KZ Alteration of Lower Back with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0W0L3ZZ Alteration of Lower Back, Percutaneous Approach
  • 0W0L47Z Alteration of Lower Back with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0W0L4JZ Alteration of Lower Back with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0W0L4KZ Alteration of Lower Back with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0W0L4ZZ Alteration of Lower Back, Percutaneous Endoscopic Approach
  • 0W0M07Z Alteration of Male Perineum with Autologous Tissue Substitute, Open Approach
  • 0W0M0JZ Alteration of Male Perineum with Synthetic Substitute, Open Approach
  • 0W0M0KZ Alteration of Male Perineum with Nonautologous Tissue Substitute, Open Approach
  • 0W0M0ZZ Alteration of Male Perineum, Open Approach
  • 0W0M37Z Alteration of Male Perineum with Autologous Tissue Substitute, Percutaneous Approach
  • 0W0M3JZ Alteration of Male Perineum with Synthetic Substitute, Percutaneous Approach
  • 0W0M3KZ Alteration of Male Perineum with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0W0M3ZZ Alteration of Male Perineum, Percutaneous Approach
  • 0W0M47Z Alteration of Male Perineum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0W0M4JZ Alteration of Male Perineum with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0W0M4KZ Alteration of Male Perineum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0W0M4ZZ Alteration of Male Perineum, Percutaneous Endoscopic Approach
  • 0W0N07Z Alteration of Female Perineum with Autologous Tissue Substitute, Open Approach
  • 0W0N0JZ Alteration of Female Perineum with Synthetic Substitute, Open Approach
  • 0W0N0KZ Alteration of Female Perineum with Nonautologous Tissue Substitute, Open Approach
  • 0W0N0ZZ Alteration of Female Perineum, Open Approach
  • 0W0N37Z Alteration of Female Perineum with Autologous Tissue Substitute, Percutaneous Approach
  • 0W0N3JZ Alteration of Female Perineum with Synthetic Substitute, Percutaneous Approach
  • 0W0N3KZ Alteration of Female Perineum with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0W0N3ZZ Alteration of Female Perineum, Percutaneous Approach
  • 0W0N47Z Alteration of Female Perineum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0W0N4JZ Alteration of Female Perineum with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0W0N4KZ Alteration of Female Perineum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0W0N4ZZ Alteration of Female Perineum, Percutaneous Endoscopic Approach

About the 0W0 Code Range

The ICD-10-PCS root operation Alteration (code starting with 0W0) involves modifying the anatomical structure of a body part without cutting it out or replacing it. This is often done to improve function or appearance.

Within the Medical and Surgical section, the Alteration operation applies to various body parts such as the Head, Face, Upper and Lower Jaw, Neck, Chest Wall, Abdominal Wall, Upper and Lower Back, and Male and Female Perineum. Procedures can be performed by different approaches including Open, Percutaneous, and Percutaneous Endoscopic. Furthermore, the procedure may involve the use of tissue substitutes—such as Autologous Tissue Substitute (patient’s own tissue), Synthetic Substitute, or Nonautologous Tissue Substitute (donor tissue)—to assist with the alteration. For example, Alteration of Head with Synthetic Substitute, Open Approach is coded as 0W000JZ, while Alteration of Face, Percutaneous Endoscopic Approach is 0W024ZZ. These specific ICD-10-PCS alteration codes enable precise documentation of procedures aiming at structural modification without excision or replacement.

Questions About This Page

How many billable codes are in the 0W0 range?

Of the 133 codes in this range, 132 are billable and valid for inpatient claim submission from October 1, 2025 through September 30, 2026. Table header codes group them but cannot be reported on claims.

What does the 0W0 range classify?

The range classifies Alteration procedures, modifying the anatomic structure of a body part without affecting the function of the body part, performed on the anatomical regions, general. Each code adds the body part, approach, device, and qualifier in characters four through seven, and links to its own reference page.

Related References

All ICD-10-PCS SectionsAll of Medical and Surgical (0)All of Body System 0WICD-10-PCS Code LookupICD-10-CM Codes ListMS-DRG ReferenceMedicare Code Edits

Source: CMS FY 2026 ICD-10-PCS order file and code tables, effective October 1, 2025 through September 30, 2026.