ICD-10-PCS 2027 procedure code
0B520ZZDestruction of Carina, Open 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 0B520ZZ
0B520ZZ is the ICD-10-PCS code for a destruction procedure on the carina using an open 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 0B510ZZ (trachea), 0B530ZZ (right main bronchus), 0B540ZZ (right upper lobe bronchus), 0B550ZZ (right middle lobe bronchus), 0B560ZZ (right lower lobe bronchus), 0B570ZZ (left main bronchus) and 15 more.
The same procedure with a different approach is coded 0B523ZZ (percutaneous), 0B524ZZ (percutaneous endoscopic), 0B527ZZ (via natural or artificial opening) and 0B528ZZ (via natural or artificial opening endoscopic).
It is an operating-room procedure in the MS-DRG logic for 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 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 “Other Ear, Nose, Mouth and Throat O.R. 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
- 2Carina
- 5. Approach
- 0Open
Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure
- 6. Device
- ZNo Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0B510ZZTrachea
- 0B530ZZMain Bronchus, Right
- 0B540ZZUpper Lobe Bronchus, Right
- 0B550ZZMiddle Lobe Bronchus, Right
- 0B560ZZLower Lobe Bronchus, Right
- 0B570ZZMain Bronchus, Left
- 0B580ZZUpper Lobe Bronchus, Left
- 0B590ZZLingula Bronchus
- 0B5B0ZZLower Lobe Bronchus, Left
- 0B5C0ZZUpper Lung Lobe, Right
- 0B5D0ZZMiddle Lung Lobe, Right
- 0B5F0ZZLower Lung Lobe, Right
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 03 · Diseases and Disorders of the Ear, Nose, Mouth and Throat · Other Ear, Nose, Mouth and Throat O.R. Procedures
MDC 04 · Diseases and Disorders of the Respiratory System · Other Respiratory System O.R. Procedures
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
- 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 0B520ZZ
Is 0B520ZZ a valid ICD-10-PCS code for 2027?
- Yes. 0B520ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0B520ZZ an O.R. procedure?
- Yes. 0B520ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0B520ZZ group to?
- Depending on the principal diagnosis, 0B520ZZ can group to MS-DRG 143, MS-DRG 144, MS-DRG 145, MS-DRG 166, MS-DRG 167 and MS-DRG 168.
What is the ICD-9 procedure code for 0B520ZZ?
- The CMS GEMs map 0B520ZZ to ICD-9-CM 31.5 (Local excision or destruction of lesion or tissue of trachea).