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ICD-10-PCS Body Part - 4
Medical and Surgical, Anatomical Regions, General, Alteration, Upper Jaw

The Upper Jaw body part is identified by the character 4 in the 4th position of the ICD-10-PCS procedure code. It is contained within the Alteration root operation of the Anatomical Regions, General body system under the Medical and Surgical section. The 4the position refers to the body part or body region when applicable.

ICD-10-PCS code structure

Section:
  0 = Medical and Surgical

Body System:
  W = Anatomical Regions, General

Root Operation:
  0 = Alteration

Body Part:

See Terms used in Medical and Surgical

Select the appropriate procedure code based on the approach & device:

0W04 - Upper Jaw

  • Open Approach

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

    • Autologous Tissue Substitute
      • 0W0407Z - Alteration of Upper Jaw with Autol Sub, Open Approach
    • Synthetic Substitute
      • 0W040JZ - Alteration of Upper Jaw with Synth Sub, Open Approach
    • Nonautologous Tissue Substitute
      • 0W040KZ - Alteration of Upper Jaw with Nonaut Sub, Open Approach
    • No Device
      • 0W040ZZ - Alteration of Upper Jaw, Open Approach

  • Percutaneous Approach

    Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure

    • Autologous Tissue Substitute
      • 0W0437Z - Alteration of Upper Jaw with Autol Sub, Perc Approach
    • Synthetic Substitute
      • 0W043JZ - Alteration of Upper Jaw with Synth Sub, Perc Approach
    • Nonautologous Tissue Substitute
      • 0W043KZ - Alteration of Upper Jaw with Nonaut Sub, Perc Approach
    • No Device
      • 0W043ZZ - Alteration of Upper Jaw, Percutaneous Approach

  • Percutaneous Endoscopic Approach

    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

    • Autologous Tissue Substitute
      • 0W0447Z - Alteration of Upper Jaw with Autol Sub, Perc Endo Approach
    • Synthetic Substitute
      • 0W044JZ - Alteration of Upper Jaw with Synth Sub, Perc Endo Approach
    • Nonautologous Tissue Substitute
      • 0W044KZ - Alteration of Upper Jaw with Nonaut Sub, Perc Endo Approach
    • No Device
      • 0W044ZZ - Alteration of Upper Jaw, Percutaneous Endoscopic Approach