ICD-10-PCS 0W4 Medical and Surgical: Anatomical Regions, General Creation

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.

List of ICD-10-PCS codes used to specify 0W4 - Creation (making a new genital structure that does not take over the function of a body part). There are a total of 7 procedure codes in this section.

  • 0W4 - Anatomical Regions, General, Creation

  • 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