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ICD-10-PCS 2027 procedure code

07WN4JZRevision of Synthetic Substitute in Lymphatic, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Revision of Synth Sub in Lymph, 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 07WN4JZ

07WN4JZ is the ICD-10-PCS code for a revision procedure on the lymphatic using a percutaneous endoscopic approach with synthetic substitute. In ICD-10-PCS, revision means correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device.

In plain terms, this corresponds to other operations on lymphatic structures, the ICD-9-CM procedure title it maps to (40.9).

For a different body part, codes include 07WK4JZ (thoracic duct) and 07WL4JZ (cisterna chyli).

The same procedure with a different approach is coded 07WN0JZ (open), 07WN3JZ (percutaneous) and 07WNXJZ (external).

With a different device, use 07WN40Z (drainage device), 07WN43Z (infusion device), 07WN47Z (autologous tissue substitute), 07WN4CZ (extraluminal device), 07WN4DZ (intraluminal device), 07WN4KZ (nonautologous tissue substitute) and 1 more.

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 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
WRevision

Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device

Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as a screw or pin

Includes: Adjustment of position of pacemaker lead, recementing of hip prosthesis

4. Body Part
NLymphatic
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
JSynthetic Substitute

Includes: AbioCor(R) Total Replacement Heart; AMPLATZER(R) Muscular VSD Occluder; Annuloplasty ring; Bard(R) Composix(R) (E/X)(LP) mesh; Bard(R) Composix(R) Kugel(R) patch; Bard(R) Dulex(tm) mesh; Bard(R) Ventralex(tm) hernia patch; Barricaid(R) Annular Closure Device (ACD); BRYAN(R) Cervical Disc System; Corvia IASD(R); Ex-PRESS(tm) mini glaucoma shunt; Flexible Composite Mesh; GORE(R) ACUSEAL Vascular Graft; GORE(R) CARDIOFORM Septal Occluder; GORE(R) DUALMESH(R); GORE(R) PROPATEN(R) Vascular Graft; GORE(R) VIATORR(R) TIPS Endoprosthesis; Holter valve ventricular shunt; IASD(R) (InterAtrial Shunt Device), Corvia; InterAtrial Shunt Device IASD(R), Corvia; LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System; MitraClip valve repair system; Nitinol framed polymer mesh; Open Pivot (mechanical) valve; Open Pivot Aortic Valve Graft (AVG); Partially absorbable mesh; PHYSIOMESH(tm) Flexible Composite Mesh; Polymethylmethacrylate (PMMA); Polypropylene mesh; PRESTIGE(R) Cervical Disc; PROCEED(tm) Ventral Patch; Prodisc-C; Prodisc-L; PROLENE Polypropylene Hernia System (PHS); Rebound HRD(R) (Hernia Repair Device); SynCardia Total Artificial Heart; Total artificial (replacement) heart; ULTRAPRO Hernia System (UHS); ULTRAPRO Partially Absorbable Lightweight Mesh; ULTRAPRO Plug; V-Wave Interatrial Shunt System; Ventrio(tm) Hernia Patch; Zimmer(R) NexGen(R) LPS Mobile Bearing Knee; Zimmer(R) NexGen(R) LPS-Flex Mobile Knee

7. Qualifier
ZNo Qualifier

Other versions of this procedure

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 →
  • 40.9Other operations on lymphatic structuresapproximate

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 07WN4JZ

Is 07WN4JZ a valid ICD-10-PCS code for 2027?

Yes. 07WN4JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 07WN4JZ an O.R. procedure?

Yes. 07WN4JZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 07WN4JZ group to?

Depending on the principal diagnosis, 07WN4JZ can group to MS-DRG 802, MS-DRG 803, MS-DRG 804, MS-DRG 820, MS-DRG 821 and MS-DRG 822.

What is the ICD-9 procedure code for 07WN4JZ?

The CMS GEMs map 07WN4JZ to ICD-9-CM 40.9 (Other operations on lymphatic structures).