ICD-10-PCS Code For Facial Bone: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0NPW includes procedures performed to remove devices from facial bones in the head and facial bones. These ICD-10-PCS codes are used for inpatient documentation when an implanted device, hardware, or foreign object previously placed in facial bone structures is taken out. Accurate coding within the ICD-10-PCS 0NPW group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Facial Bone Removal Procedure Overview

Procedures in this group involve the removal of a device from facial bones within the head and facial bones body system. These inpatient procedures remove implanted devices, hardware, or foreign bodies that have been placed in facial bone structures. Accurate coding of removal procedures is important for proper inpatient reimbursement because it documents the operation performed and supports appropriate case mix assignment and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
N	Body System	Head and Facial Bones
P	Operation	Removal
W	Body Part	Facial Bone

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ICD-10-PCS Code For Facial Bone: Procedure Code Group Overview

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Facial Bone Removal Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
N	Body System	Head and Facial Bones
P	Operation	Removal
W	Body Part	Facial Bone

When to Use

Use a code from this group when an implanted device, hardware, or foreign object that resides in the facial bones is intentionally removed during an inpatient procedure. These codes apply regardless of the reason for removal, including device failure, infection, pain, or planned revision where the device is taken out.

ICD-10-PCS Codes

25 rows

ICD-10-PCS Code	Description
0NPW00Z	Removal of Drainage Device from Facial Bone, Open Approach
0NPW04Z	Removal of Internal Fixation Device from Facial Bone, Open Approach
0NPW05Z	Removal of External Fixation Device from Facial Bone, Open Approach
0NPW07Z	Removal of Autologous Tissue Substitute from Facial Bone, Open Approach
0NPW0JZ	Removal of Synthetic Substitute from Facial Bone, Open Approach
0NPW0KZ	Removal of Nonautologous Tissue Substitute from Facial Bone, Open Approach
0NPW0MZ	Removal of Bone Growth Stimulator from Facial Bone, Open Approach
0NPW30Z	Removal of Drainage Device from Facial Bone, Percutaneous Approach
0NPW34Z	Removal of Internal Fixation Device from Facial Bone, Percutaneous Approach
0NPW35Z	Removal of External Fixation Device from Facial Bone, Percutaneous Approach

Showing 1–10 of 25

DRG Codes

22 rows

DRG Code	Description
023	Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Antineoplastic Implant or Epilepsy with Neurostimulator
024	Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCC
025	Craniotomy and Endovascular Intracranial Procedures with MCC
026	Craniotomy and Endovascular Intracranial Procedures with CC
027	Craniotomy and Endovascular Intracranial Procedures without CC/MCC
113	Orbital Procedures with CC/MCC
114	Orbital Procedures without CC/MCC
143	Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC
144	Other Ear, Nose, Mouth and Throat O.R. Procedures with CC
145	Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC

Showing 1–10 of 22

Typical Clinical Scenarios

An adult patient presents emergently after a motor vehicle collision with multiple facial fractures and an exposed internal fixation plate causing wound contamination and localized infection; because the implanted internal fixation hardware is failing to control infection and soft-tissue compromise, inpatient removal of the plate from the facial bones is performed during a washout and repair. Typical codes: 0NPW04Z, 0NPW34Z
An elective admission for a middle-aged patient previously treated for complex zygomatic and orbital fractures who now requests planned removal of internal fixation hardware once bone healing is confirmed to reduce chronic irritation and palpability; the hospital encounter documents scheduled open removal of the internal fixation devices from the facial bones. Typical codes: 0NPW04Z, 0NPWX4Z
A pediatric patient with an external fixation device placed after facial trauma develops pin-site infection and loosening requiring urgent removal of the external fixation apparatus from facial bone structures during an inpatient stay to control infection and stabilize the face for alternative fixation. Typical codes: 0NPW05Z, 0NPW35Z

Related Codes

0NP0-SKULL-REMOVAL

ICD-10-PCS Code For Skull: Procedure Code Group Overview

0NPB-NASAL-BONE-REMOVAL

ICD-10-PCS Code For Nasal Bone: Procedure Code Group Overview

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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When to Use

ICD-10-PCS Codes

25 rows

ICD-10-PCS Code	Description
0NPW00Z	Removal of Drainage Device from Facial Bone, Open Approach
0NPW04Z	Removal of Internal Fixation Device from Facial Bone, Open Approach
0NPW05Z	Removal of External Fixation Device from Facial Bone, Open Approach
0NPW07Z	Removal of Autologous Tissue Substitute from Facial Bone, Open Approach
0NPW0JZ	Removal of Synthetic Substitute from Facial Bone, Open Approach
0NPW0KZ	Removal of Nonautologous Tissue Substitute from Facial Bone, Open Approach
0NPW0MZ	Removal of Bone Growth Stimulator from Facial Bone, Open Approach
0NPW30Z	Removal of Drainage Device from Facial Bone, Percutaneous Approach
0NPW34Z	Removal of Internal Fixation Device from Facial Bone, Percutaneous Approach
0NPW35Z	Removal of External Fixation Device from Facial Bone, Percutaneous Approach

Showing 1–10 of 25

DRG Codes

22 rows

DRG Code	Description
023	Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Antineoplastic Implant or Epilepsy with Neurostimulator
024	Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCC
025	Craniotomy and Endovascular Intracranial Procedures with MCC
026	Craniotomy and Endovascular Intracranial Procedures with CC
027	Craniotomy and Endovascular Intracranial Procedures without CC/MCC
113	Orbital Procedures with CC/MCC
114	Orbital Procedures without CC/MCC
143	Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC
144	Other Ear, Nose, Mouth and Throat O.R. Procedures with CC
145	Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC

Showing 1–10 of 22

Typical Clinical Scenarios

An adult patient presents emergently after a motor vehicle collision with multiple facial fractures and an exposed internal fixation plate causing wound contamination and localized infection; because the implanted internal fixation hardware is failing to control infection and soft-tissue compromise, inpatient removal of the plate from the facial bones is performed during a washout and repair. Typical codes: 0NPW04Z, 0NPW34Z
An elective admission for a middle-aged patient previously treated for complex zygomatic and orbital fractures who now requests planned removal of internal fixation hardware once bone healing is confirmed to reduce chronic irritation and palpability; the hospital encounter documents scheduled open removal of the internal fixation devices from the facial bones. Typical codes: 0NPW04Z, 0NPWX4Z
A pediatric patient with an external fixation device placed after facial trauma develops pin-site infection and loosening requiring urgent removal of the external fixation apparatus from facial bone structures during an inpatient stay to control infection and stabilize the face for alternative fixation. Typical codes: 0NPW05Z, 0NPW35Z

Related Codes

0NP0-SKULL-REMOVAL

ICD-10-PCS Code For Skull: Procedure Code Group Overview

0NPB-NASAL-BONE-REMOVAL

ICD-10-PCS Code For Nasal Bone: Procedure Code Group Overview

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-PCS Code For Facial Bone: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Facial Bone: Procedure Code Group Overview policy alerts

Facial Bone Removal Procedure Overview

Code Attributes

ICD-10-PCS Code For Facial Bone: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Facial Bone: Procedure Code Group Overview policy alerts

Facial Bone Removal Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does ICD-10-PCS code group 0NPW represent?

What types of devices or items are represented by codes in the 0NPW group?

How are approach types indicated within the individual 0NPW procedure codes?

Why is accurate coding in the 0NPW group important for inpatient documentation?

Which DRG categories may be associated with procedures coded from the 0NPW group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does ICD-10-PCS code group 0NPW represent?

What types of devices or items are represented by codes in the 0NPW group?

How are approach types indicated within the individual 0NPW procedure codes?

Why is accurate coding in the 0NPW group important for inpatient documentation?

Which DRG categories may be associated with procedures coded from the 0NPW group?

References