ICD-10-PCS Book 2025 Edition

Sections / 0 Medical and Surgical / 0X Anatomical Regions, Upper Extremities / 0XW Revision
PCS Table 0XW
Section0Medical and Surgical
Body SystemXAnatomical Regions, Upper Extremities
OperationWRevision
Body PartApproachDeviceQualifier
6Upper Extremity, Right
7Upper Extremity, Left
0Open
3Percutaneous
4Percutaneous Endoscopic
XExternal
0Drainage Device
3Infusion Device
7Autologous Tissue Substitute
JSynthetic Substitute
KNonautologous Tissue Substitute
YOther Device
ZNo Qualifier

0XW prefixed ICD-10-PCS codes
0XW600Z Revision of Drainage Device in Right Upper Extremity, Open Approach
0XW603Z Revision of Infusion Device in Right Upper Extremity, Open Approach
0XW607Z Revision of Autologous Tissue Substitute in Right Upper Extremity, Open Approach
0XW60JZ Revision of Synthetic Substitute in Right Upper Extremity, Open Approach
0XW60KZ Revision of Nonautologous Tissue Substitute in Right Upper Extremity, Open Approach
0XW60YZ Revision of Other Device in Right Upper Extremity, Open Approach
0XW630Z Revision of Drainage Device in Right Upper Extremity, Percutaneous Approach
0XW633Z Revision of Infusion Device in Right Upper Extremity, Percutaneous Approach
0XW637Z Revision of Autologous Tissue Substitute in Right Upper Extremity, Percutaneous Approach
0XW63JZ Revision of Synthetic Substitute in Right Upper Extremity, Percutaneous Approach
0XW63KZ Revision of Nonautologous Tissue Substitute in Right Upper Extremity, Percutaneous Approach
0XW63YZ Revision of Other Device in Right Upper Extremity, Percutaneous Approach
0XW640Z Revision of Drainage Device in Right Upper Extremity, Percutaneous Endoscopic Approach
0XW643Z Revision of Infusion Device in Right Upper Extremity, Percutaneous Endoscopic Approach
0XW647Z Revision of Autologous Tissue Substitute in Right Upper Extremity, Percutaneous Endoscopic Approach
0XW64JZ Revision of Synthetic Substitute in Right Upper Extremity, Percutaneous Endoscopic Approach
0XW64KZ Revision of Nonautologous Tissue Substitute in Right Upper Extremity, Percutaneous Endoscopic Approach
0XW64YZ Revision of Other Device in Right Upper Extremity, Percutaneous Endoscopic Approach
0XW6X0Z Revision of Drainage Device in Right Upper Extremity, External Approach
0XW6X3Z Revision of Infusion Device in Right Upper Extremity, External Approach
0XW6X7Z Revision of Autologous Tissue Substitute in Right Upper Extremity, External Approach
0XW6XJZ Revision of Synthetic Substitute in Right Upper Extremity, External Approach
0XW6XKZ Revision of Nonautologous Tissue Substitute in Right Upper Extremity, External Approach
0XW6XYZ Revision of Other Device in Right Upper Extremity, External Approach
0XW700Z Revision of Drainage Device in Left Upper Extremity, Open Approach
0XW703Z Revision of Infusion Device in Left Upper Extremity, Open Approach
0XW707Z Revision of Autologous Tissue Substitute in Left Upper Extremity, Open Approach
0XW70JZ Revision of Synthetic Substitute in Left Upper Extremity, Open Approach
0XW70KZ Revision of Nonautologous Tissue Substitute in Left Upper Extremity, Open Approach
0XW70YZ Revision of Other Device in Left Upper Extremity, Open Approach
0XW730Z Revision of Drainage Device in Left Upper Extremity, Percutaneous Approach
0XW733Z Revision of Infusion Device in Left Upper Extremity, Percutaneous Approach
0XW737Z Revision of Autologous Tissue Substitute in Left Upper Extremity, Percutaneous Approach
0XW73JZ Revision of Synthetic Substitute in Left Upper Extremity, Percutaneous Approach
0XW73KZ Revision of Nonautologous Tissue Substitute in Left Upper Extremity, Percutaneous Approach
0XW73YZ Revision of Other Device in Left Upper Extremity, Percutaneous Approach
0XW740Z Revision of Drainage Device in Left Upper Extremity, Percutaneous Endoscopic Approach
0XW743Z Revision of Infusion Device in Left Upper Extremity, Percutaneous Endoscopic Approach
0XW747Z Revision of Autologous Tissue Substitute in Left Upper Extremity, Percutaneous Endoscopic Approach
0XW74JZ Revision of Synthetic Substitute in Left Upper Extremity, Percutaneous Endoscopic Approach
0XW74KZ Revision of Nonautologous Tissue Substitute in Left Upper Extremity, Percutaneous Endoscopic Approach
0XW74YZ Revision of Other Device in Left Upper Extremity, Percutaneous Endoscopic Approach
0XW7X0Z Revision of Drainage Device in Left Upper Extremity, External Approach
0XW7X3Z Revision of Infusion Device in Left Upper Extremity, External Approach
0XW7X7Z Revision of Autologous Tissue Substitute in Left Upper Extremity, External Approach
0XW7XJZ Revision of Synthetic Substitute in Left Upper Extremity, External Approach
0XW7XKZ Revision of Nonautologous Tissue Substitute in Left Upper Extremity, External Approach
0XW7XYZ Revision of Other Device in Left Upper Extremity, External Approach