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ICD 10 Code 0QW104Z

Revision of Internal Fixation Device in Sacrum, Open Approach
“Revision of Int Fix in Sacrum, Open Approach” for short

0QW104Z is a valid billable ICD-10 procedure code for Revision of Internal Fixation Device in Sacrum, Open Approach. It is found in the 2025 version of the ICD-10 Procedure Coding System (PCS) and can be used in all HIPAA-covered transactions from Oct 01, 2024 - Sep 30, 2025.

Revision involves:
Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device. Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as a screw or pin

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

Revision includes:

  • Adjustment of position of pacemaker lead, recementing of hip prosthesis
MS-DRG - Medicare Severity-Diagnosis Related Group
  • MDC 08 Diseases & Disorders of the Musculoskeletal System & Connective Tissue
    Local Excision and Removal Int Fix Devices Except Hip and Femur
    • DRG 495 - LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC
    • DRG 496 - LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC
    • DRG 497 - LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC

ICD-10-PCS code structure for 0QW104Z — See Table View

1: Section 0 Medical and Surgical
2: Body System Q Lower Bones
3: Root Operation W Revision
4: Body Part 1 Sacrum
5: Approach 0 Open
6: Device 4 Internal Fixation Device
7: Qualifier Z No Qualifier

See also

  • The ICD-10-PCS Index of common procedure terms.
  • Medical and Surgical terms in the ICD-10-PCS Definitions table. These definitions may also provide additional explanation and/or examples within this section.
  • The ICD-10-PCS Device Aggregation Table containing entries that correlate a specific ICD-10-PCS device value with a general device value to be used in tables containing only general device values.