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ICD-10-PCS 2027 procedure code

0B5P4ZZDestruction of Left Pleura, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

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 0B5P4ZZ

0B5P4ZZ is the ICD-10-PCS code for a destruction procedure on the left pleura using a percutaneous 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 Scarification of pleura, the ICD-9-CM procedure title it maps to (34.6).

For a different body part, codes include 0B514ZZ (trachea), 0B524ZZ (carina), 0B534ZZ (right main bronchus), 0B544ZZ (right upper lobe bronchus), 0B554ZZ (right middle lobe bronchus), 0B564ZZ (right lower lobe bronchus) and 15 more.

The same procedure with a different approach is coded 0B5P0ZZ (open) and 0B5P3ZZ (percutaneous).

It is an operating-room procedure in the MS-DRG logic for DRG 163 (Major Chest Procedures with MCC), DRG 164 (Major Chest Procedures with CC), DRG 165 (Major Chest Procedures 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 “Major Chest Procedures”, “Lymphoma and Leukemia with Major O.R. Procedures”, “Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures” and 2 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
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
PPleura, Left
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
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 →
  • 34.6Scarification of pleuraapproximate

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 0B5P4ZZ

Is 0B5P4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0B5P4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0B5P4ZZ an O.R. procedure?

Yes. 0B5P4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0B5P4ZZ group to?

Depending on the principal diagnosis, 0B5P4ZZ can group to MS-DRG 163, MS-DRG 164, MS-DRG 165, MS-DRG 820, MS-DRG 821 and MS-DRG 822.

What is the ICD-9 procedure code for 0B5P4ZZ?

The CMS GEMs map 0B5P4ZZ to ICD-9-CM 34.6 (Scarification of pleura).