ICD-10-PCS 2027 procedure code
075L4ZZDestruction of Cisterna Chyli, Percutaneous Endoscopic Approach
Short description: Destruction of Cisterna Chyli, Perc Endo Approach
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 075L4ZZ
075L4ZZ is the ICD-10-PCS code for a destruction procedure on the cisterna chyli using a percutaneous endoscopic approach. In ICD-10-PCS, destruction means physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent.
In plain terms, this corresponds to other operations on thoracic duct, the ICD-9-CM procedure title it maps to (40.69).
For a different body part, codes include 07504ZZ (lymphatic, head), 07514ZZ (lymphatic, right neck), 07524ZZ (lymphatic, left neck), 07534ZZ (lymphatic, right upper extremity), 07544ZZ (lymphatic, left upper extremity), 07554ZZ (lymphatic, right axillary) and 14 more.
The same procedure with a different approach is coded 075L0ZZ (open) and 075L3ZZ (percutaneous).
It is an operating-room procedure in the MS-DRG logic for DRG 163 (Major Chest Procedures with MCC), DRG 164 (Major Chest Procedures with CC) and DRG 165 (Major Chest Procedures without CC/MCC), under the surgical category “Major Chest Procedures”.
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
- 7Lymphatic and Hemic Systems
- 3. Operation
- 5Destruction
Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent
None of the body part is physically taken out
Includes: Fulguration of rectal polyp, cautery of skin lesion
- 4. Body Part
- LCisterna Chyli
Includes: Intestinal lymphatic trunk; Lumbar lymphatic trunk
- 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
- ZNo Qualifier
Other versions of this procedure
Different body part
- 07504ZZLymphatic, Head
- 07514ZZLymphatic, Right Neck
- 07524ZZLymphatic, Left Neck
- 07534ZZLymphatic, Right Upper Extremity
- 07544ZZLymphatic, Left Upper Extremity
- 07554ZZLymphatic, Right Axillary
- 07564ZZLymphatic, Left Axillary
- 07574ZZLymphatic, Thorax
- 07584ZZLymphatic, Internal Mammary, Right
- 07594ZZLymphatic, Internal Mammary, Left
- 075B4ZZLymphatic, Mesenteric
- 075C4ZZLymphatic, Pelvis
Different approach
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 04 · Diseases and Disorders of the Respiratory System · Major Chest Procedures
ICD-9-CM equivalent
Converter →- 40.69Other operations on thoracic ductapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 075L4ZZ
Is 075L4ZZ a valid ICD-10-PCS code for 2027?
- Yes. 075L4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 075L4ZZ an O.R. procedure?
- Yes. 075L4ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 075L4ZZ group to?
- Depending on the principal diagnosis, 075L4ZZ can group to MS-DRG 163, MS-DRG 164 and MS-DRG 165.
What is the ICD-9 procedure code for 075L4ZZ?
- The CMS GEMs map 075L4ZZ to ICD-9-CM 40.69 (Other operations on thoracic duct).