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ICD-10-PCS 2027 procedure code

081X3Z3Bypass Right Lacrimal Duct to Nasal Cavity, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Short description: Bypass Right Lacrimal Duct to Nasal Cavity, Perc 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 081X3Z3

081X3Z3 is the ICD-10-PCS code for a bypass procedure on the right lacrimal duct using a percutaneous approach (qualifier: nasal cavity). In ICD-10-PCS, bypass means altering the route of passage of the contents of a tubular body part.

In plain terms, this corresponds to Dacryocystorhinostomy [DCR], the ICD-9-CM procedure title it maps to (09.81).

For a different body part, codes include 081Y3Z3 (left lacrimal duct).

The same procedure with a different approach is coded 081X0Z3 (open).

With a different device, use 081X3J3 (synthetic substitute) and 081X3K3 (nonautologous tissue substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 115 (Extraocular Procedures Except Orbit), DRG 143 (Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC), DRG 144 (Other Ear, Nose, Mouth and Throat O.R. Procedures with CC), DRG 145 (Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC), DRG 907 (Other O.R. Procedures for Injuries with MCC) and DRG 908 (Other O.R. Procedures for Injuries with CC), under the surgical categories “Extraocular Procedures Except Orbit”, “Other Ear, Nose, Mouth and Throat O.R. Procedures”, “Other O.R. Procedures for Injuries” 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
8Eye
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
XLacrimal Duct, Right
5. Approach
3Percutaneous

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure

6. Device
ZNo Device
7. Qualifier
3Nasal Cavity

Other versions of this procedure

Different body part

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 02 · Diseases and Disorders of the Eye · Extraocular Procedures Except Orbit

ICD-9-CM equivalent

Converter →
  • 09.81Dacryocystorhinostomy [DCR]approximate

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 081X3Z3

Is 081X3Z3 a valid ICD-10-PCS code for 2027?

Yes. 081X3Z3 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 081X3Z3 an O.R. procedure?

Yes. 081X3Z3 is an O.R. procedure in MS-DRG v44.0.

What DRG does 081X3Z3 group to?

Depending on the principal diagnosis, 081X3Z3 can group to MS-DRG 115, MS-DRG 143, MS-DRG 144, MS-DRG 145, MS-DRG 907 and MS-DRG 908.

What is the ICD-9 procedure code for 081X3Z3?

The CMS GEMs map 081X3Z3 to ICD-9-CM 09.81 (Dacryocystorhinostomy [DCR]).