ICD-10-PCS 2027 procedure code
07974ZXDrainage of Thorax Lymphatic, Percutaneous Endoscopic Approach, Diagnostic
Short description: Drainage of Thorax Lymphatic, 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 07974ZX
07974ZX is the ICD-10-PCS code for a drainage procedure on the lymphatic, thorax using a percutaneous endoscopic approach (qualifier: diagnostic). In ICD-10-PCS, drainage means taking or letting out fluids and/or gases from a body part.
In plain terms, this corresponds to biopsy of lymphatic structure, the ICD-9-CM procedure title it maps to (40.11).
For a different body part, codes include 07904ZX (lymphatic, head), 07914ZX (lymphatic, right neck), 07924ZX (lymphatic, left neck), 07934ZX (lymphatic, right upper extremity), 07944ZX (lymphatic, left upper extremity), 07954ZX (lymphatic, right axillary) and 15 more.
The same procedure with a different approach is coded 07970ZX (open), 07973ZX (percutaneous) and 07978ZX (via natural or artificial opening endoscopic).
It is an operating-room procedure in the MS-DRG logic for DRG 040 (Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC), DRG 041 (Peripheral, Cranial Nerve and Other Nervous System Procedures with CC or Peripheral Neurostimulator), DRG 042 (Peripheral, Cranial Nerve and Other Nervous System Procedures without CC/MCC), DRG 166 (Other Respiratory System O.R. Procedures with MCC), DRG 167 (Other Respiratory System O.R. Procedures with CC) and DRG 168 (Other Respiratory System O.R. Procedures without CC/MCC), under the surgical categories “Peripheral, Cranial Nerve and Other Nervous System Procedures”, “Other Respiratory System O.R. Procedures”, “Other Circulatory System O.R. Procedures” and 4 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
- 7Lymphatic and Hemic Systems
- 3. Operation
- 9Drainage
Taking or letting out fluids and/or gases from a body part
The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Includes: Thoracentesis, incision and drainage
- 4. Body Part
- 7Lymphatic, Thorax
Includes: Intercostal lymph node; Mediastinal lymph node; Parasternal lymph node; Paratracheal lymph node; Tracheobronchial lymph node
- 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 body part
- 07904ZXLymphatic, Head
- 07914ZXLymphatic, Right Neck
- 07924ZXLymphatic, Left Neck
- 07934ZXLymphatic, Right Upper Extremity
- 07944ZXLymphatic, Left Upper Extremity
- 07954ZXLymphatic, Right Axillary
- 07964ZXLymphatic, Left Axillary
- 07984ZXLymphatic, Internal Mammary, Right
- 07994ZXLymphatic, Internal Mammary, Left
- 079B4ZXLymphatic, Mesenteric
- 079C4ZXLymphatic, Pelvis
- 079D4ZXLymphatic, Aortic
Different qualifier
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 01 · Diseases and Disorders of the Nervous System · Peripheral, Cranial Nerve and Other Nervous System Procedures
MDC 04 · Diseases and Disorders of the Respiratory System · Other Respiratory System O.R. Procedures
MDC 05 · Diseases and Disorders of the Circulatory System · Other Circulatory System O.R. Procedures
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Other Musculoskeletal System and Connective Tissue O.R. Procedures
MDC 09 · Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast · Other Skin, Subcutaneous Tissue and Breast Procedures
MDC 10 · Endocrine, Nutritional and Metabolic Diseases and Disorders · Other Endocrine, Nutritional and Metabolic O.R. Procedures
MDC 16 · Diseases and Disorders of the Blood and Blood Forming Organs and Immunological Disorders · Other O.R. Procedures of the Blood and Blood Forming Organs
ICD-9-CM equivalent
Converter →- 40.11Biopsy of lymphatic structureapproximate
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 07974ZX
Is 07974ZX a valid ICD-10-PCS code for 2027?
- Yes. 07974ZX is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 07974ZX an O.R. procedure?
- Yes. 07974ZX is an O.R. procedure in MS-DRG v44.0.
What DRG does 07974ZX group to?
- Depending on the principal diagnosis, 07974ZX can group to MS-DRG 040, MS-DRG 041, MS-DRG 042, MS-DRG 166, MS-DRG 167 and MS-DRG 168.
What is the ICD-9 procedure code for 07974ZX?
- The CMS GEMs map 07974ZX to ICD-9-CM 40.11 (Biopsy of lymphatic structure).