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ICD-10-PCS 2027 procedure code

00BD4ZXExcision of Medulla Oblongata, Percutaneous Endoscopic Approach, Diagnostic

✓ Valid for 2027O.R. procedure

Short description: Excision of Medulla Oblongata, Perc Endo Approach, Diagn

Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 00BD4ZX

00BD4ZX is the ICD-10-PCS code for a excision procedure on the medulla oblongata using a percutaneous endoscopic approach (qualifier: diagnostic). In ICD-10-PCS, excision means cutting out or off, without replacement, a portion of a body part.

In plain terms, this corresponds to closed [percutaneous] [needle] biopsy of brain, the ICD-9-CM procedure title it maps to (01.13).

For a different body part, codes include 00B04ZX (brain), 00B14ZX (cerebral meninges), 00B24ZX (dura mater), 00B64ZX (cerebral ventricle), 00B74ZX (cerebral hemisphere), 00B84ZX (basal ganglia) and 20 more.

The same procedure with a different approach is coded 00BD0ZX (open) and 00BD3ZX (percutaneous).

It is an operating-room procedure in the MS-DRG logic for DRG 023 (Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Antineoplastic Implant or Epilepsy with Neurostimulator), DRG 024 (Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCC), DRG 025 (Craniotomy and Endovascular Intracranial Procedures with MCC), DRG 026 (Craniotomy and Endovascular Intracranial Procedures with CC), DRG 027 (Craniotomy and Endovascular Intracranial Procedures without CC/MCC) and DRG 820 (Lymphoma and Leukemia with Major O.R. Procedures with MCC), under the surgical categories “Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis”, “Craniotomy and endovascular intracranial procedures”, “Lymphoma and Leukemia with Major O.R. Procedures” and 1 more.

It has been valid since ICD-10-PCS took effect on October 1, 2015.

What each character means

1. Section
0Medical and Surgical
2. Body System
0Central Nervous System and Cranial Nerves
3. Operation
BExcision

Cutting out or off, without replacement, a portion of a body part

The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies

Includes: Partial nephrectomy, liver biopsy

4. Body Part
DMedulla Oblongata

Includes: Myelencephalon

5. Approach
4Percutaneous Endoscopic

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

6. Device
ZNo Device
7. Qualifier
XDiagnostic

Other versions of this procedure

Different qualifier

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

ICD-9-CM equivalent

Converter →
  • 01.13Closed [percutaneous] [needle] biopsy of brainapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 00BD4ZX

Is 00BD4ZX a valid ICD-10-PCS code for 2027?

Yes. 00BD4ZX is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 00BD4ZX an O.R. procedure?

Yes. 00BD4ZX is an O.R. procedure in MS-DRG v44.0.

What DRG does 00BD4ZX group to?

Depending on the principal diagnosis, 00BD4ZX can group to MS-DRG 023, MS-DRG 024, MS-DRG 025, MS-DRG 026, MS-DRG 027 and MS-DRG 820.

What is the ICD-9 procedure code for 00BD4ZX?

The CMS GEMs map 00BD4ZX to ICD-9-CM 01.13 (Closed [percutaneous] [needle] biopsy of brain).