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ICD-10-PCS 2027 procedure code

0B518ZZDestruction of Trachea, Via Natural or Artificial Opening Endoscopic

✓ Valid for 2027O.R. procedure

Short description: Destruction of Trachea, Endo

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 0B518ZZ

0B518ZZ is the ICD-10-PCS code for a destruction procedure on the trachea using a via natural or artificial opening 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 local excision or destruction of lesion or tissue of trachea, the ICD-9-CM procedure title it maps to (31.5).

For a different body part, codes include 0B528ZZ (carina), 0B538ZZ (right main bronchus), 0B548ZZ (right upper lobe bronchus), 0B558ZZ (right middle lobe bronchus), 0B568ZZ (right lower lobe bronchus), 0B578ZZ (left main bronchus) and 12 more.

The same procedure with a different approach is coded 0B510ZZ (open), 0B513ZZ (percutaneous), 0B514ZZ (percutaneous endoscopic) and 0B517ZZ (via natural or artificial opening).

It is an operating-room procedure in the MS-DRG logic for DRG 140 (Major Head and Neck Procedures with MCC), DRG 141 (Major Head and Neck Procedures with CC), DRG 142 (Major Head and Neck 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 “Major Head and Neck Procedures” and “Other Respiratory System O.R. 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
BRespiratory System
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
1Trachea
5. Approach
8Via Natural or Artificial Opening Endoscopic

Entry of instrumentation through a natural or artificial external opening to reach and visualize the site of the procedure

6. Device
ZNo Device
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 →
  • 31.5Local excision or destruction of lesion or tissue of tracheaapproximate

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 0B518ZZ

Is 0B518ZZ a valid ICD-10-PCS code for 2027?

Yes. 0B518ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0B518ZZ an O.R. procedure?

Yes. 0B518ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0B518ZZ group to?

Depending on the principal diagnosis, 0B518ZZ can group to MS-DRG 140, MS-DRG 141, MS-DRG 142, MS-DRG 166, MS-DRG 167 and MS-DRG 168.

What is the ICD-9 procedure code for 0B518ZZ?

The CMS GEMs map 0B518ZZ to ICD-9-CM 31.5 (Local excision or destruction of lesion or tissue of trachea).