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ICD-10-PCS 2027 procedure code

07PK4YZRemoval of Other Device from Thoracic Duct, Percutaneous Endoscopic Approach

✓ Valid for 2027

Short description: Removal of Oth Dev from Thoracic Duct, Perc Endo Approach

Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 07PK4YZ

07PK4YZ is the ICD-10-PCS code for a removal procedure on the thoracic duct using a percutaneous endoscopic approach with other device. In ICD-10-PCS, removal means taking out or off a device from a body part.

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 07PL4YZ (cisterna chyli), 07PM4YZ (thymus), 07PN4YZ (lymphatic) and 07PP4YZ (spleen).

The same procedure with a different approach is coded 07PK0YZ (open) and 07PK3YZ (percutaneous).

With a different device, use 07PK40Z (drainage device), 07PK43Z (infusion device), 07PK47Z (autologous tissue substitute), 07PK4CZ (extraluminal device), 07PK4DZ (intraluminal device), 07PK4JZ (synthetic substitute) and 1 more.

It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.

It was added in FY2018, effective October 1, 2017.

What each character means

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

Taking out or off a device from a body part

If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL

Includes: Drainage tube removal, cardiac pacemaker removal

4. Body Part
KThoracic Duct

Includes: Left jugular trunk; Left subclavian 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
YOther Device

Includes: Alfapump(R) system

7. Qualifier
ZNo Qualifier

Other versions of this procedure

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

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2018 (effective 10/1/2017): Added
  • No changes since FY2018.

Common questions about 07PK4YZ

Is 07PK4YZ a valid ICD-10-PCS code for 2027?

Yes. 07PK4YZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 07PK4YZ?

The CMS GEMs map 07PK4YZ to ICD-9-CM 40.69 (Other operations on thoracic duct).