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ICD-10-PCS 2027 procedure code

07194ZKBypass Left Internal Mammary Lymphatic to Thoracic Duct, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Bypass Int Mamm, L Lymph to Thor Dct, Perc Endo Approach

Code last changed in FY2025 (effective October 1, 2024). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 07194ZK

07194ZK is the ICD-10-PCS code for a bypass procedure on the left lymphatic, internal mammary using a percutaneous endoscopic approach (qualifier: thoracic duct). In ICD-10-PCS, bypass means altering the route of passage of the contents of a tubular body part.

For a different body part, codes include 07104ZK (lymphatic, head), 07114ZK (lymphatic, right neck), 07124ZK (lymphatic, left neck), 07134ZK (lymphatic, right upper extremity), 07144ZK (lymphatic, left upper extremity), 07154ZK (lymphatic, right axillary) and 12 more.

The same procedure with a different approach is coded 07190ZK (open).

It is an operating-room procedure in the MS-DRG logic for DRG 802 (Other O.R. Procedures of the Blood and Blood Forming Organs with MCC), DRG 803 (Other O.R. Procedures of the Blood and Blood Forming Organs with CC), DRG 804 (Other O.R. Procedures of the Blood and Blood Forming Organs without CC/MCC), DRG 820 (Lymphoma and Leukemia with Major O.R. Procedures with MCC), DRG 821 (Lymphoma and Leukemia with Major O.R. Procedures with CC) and DRG 822 (Lymphoma and Leukemia with Major O.R. Procedures without CC/MCC), under the surgical categories “Other O.R. Procedures of the Blood and Blood Forming Organs”, “Lymphoma and Leukemia with Major O.R. Procedures”, “Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures” and 1 more.

It was added in FY2025, effective October 1, 2024.

What each character means

1. Section
0Medical and Surgical
2. Body System
7Lymphatic and Hemic Systems
3. Operation
1Bypass

Altering the route of passage of the contents of a tubular body part

Rerouting contents of a body part to a downstream area of the normal route, to a similar route and body part, or to an abnormal route and dissimilar body part. Includes one or more anastomoses, with or without the use of a device

Includes: Coronary artery bypass, colostomy formation

4. Body Part
9Lymphatic, Internal Mammary, Left
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
KThoracic Duct

Other versions of this procedure

Different approach

MS-DRG v44.0 grouping

All DRGs →

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

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
  • FY2025 (effective 10/1/2024): Added
  • No changes since FY2025.

Common questions about 07194ZK

Is 07194ZK a valid ICD-10-PCS code for 2027?

Yes. 07194ZK is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 07194ZK an O.R. procedure?

Yes. 07194ZK is an O.R. procedure in MS-DRG v44.0.

What DRG does 07194ZK group to?

Depending on the principal diagnosis, 07194ZK can group to MS-DRG 802, MS-DRG 803, MS-DRG 804, MS-DRG 820, MS-DRG 821 and MS-DRG 822.