0W4 Creation - Anatomical Regions, General ICD-10-PCS
The 0W4 code range contains 7 ICD-10-PCS codes for Creation procedures on the anatomical regions, general. 6 of the codes are billable and valid for inpatient claim submission in fiscal year 2026.
Root Operation Definition
Creation: Making a new genital structure that does not take over the function of a body part.
Codes in the 0W4 Range 7 codes · 6 billable
- 0W4 Anatomical Regions, General, CreationNon-billable header
- 0W4M070 Creation of Vagina in Male Perineum with Autologous Tissue Substitute, Open Approach
- 0W4M0J0 Creation of Vagina in Male Perineum with Synthetic Substitute, Open Approach
- 0W4M0K0 Creation of Vagina in Male Perineum with Nonautologous Tissue Substitute, Open Approach
- 0W4N071 Creation of Penis in Female Perineum with Autologous Tissue Substitute, Open Approach
- 0W4N0J1 Creation of Penis in Female Perineum with Synthetic Substitute, Open Approach
- 0W4N0K1 Creation of Penis in Female Perineum with Nonautologous Tissue Substitute, Open Approach
About the 0W4 Code Range
The ICD-10-PCS root operation Creation (code 0W4) involves making a new anatomical structure that did not previously exist. It is used to describe procedures where a body part is surgically constructed within the Medical and Surgical section.
Examples of this root operation include the creation of a vagina in the male perineum or the creation of a penis in the female perineum. These procedures can utilize different types of tissue substitutes, such as autologous tissue substitutes (using the patient's own tissue), synthetic substitutes, or nonautologous tissue substitutes (tissue from another donor). All the examples provided are performed via an open approach, reflecting surgical methods where the area is directly exposed. Correct coding with these creation codes ensures accurate documentation of complex reconstructive surgeries aimed at forming new anatomical parts.
Questions About This Page
How many billable codes are in the 0W4 range?
Of the 7 codes in this range, 6 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 0W4 range classify?
The range classifies Creation procedures, making a new genital structure that does not take over the function of a 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
Source: CMS FY 2026 ICD-10-PCS order file and code tables, effective October 1, 2025 through September 30, 2026.
