ICD-10-PCS 2027 procedure code
0BBC4ZZExcision of Right Upper Lung Lobe, Percutaneous Endoscopic Approach
Short description: Excision of Right Upper Lung Lobe, 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 0BBC4ZZ
0BBC4ZZ is the ICD-10-PCS code for a excision procedure on the right upper lung lobe using a percutaneous endoscopic approach. In ICD-10-PCS, excision means cutting out or off, without replacement, a portion of a body part.
In plain terms, this corresponds to thoracoscopic excision of lesion or tissue of lung and thoracoscopic segmental resection of lung, the ICD-9-CM procedure titles it maps to (32.20 and 32.30).
For a different body part, codes include 0BB14ZZ (trachea), 0BB24ZZ (carina), 0BB34ZZ (right main bronchus), 0BB44ZZ (right upper lobe bronchus), 0BB54ZZ (right middle lobe bronchus), 0BB64ZZ (right lower lobe bronchus) and 15 more.
The same procedure with a different approach is coded 0BBC0ZZ (open), 0BBC3ZZ (percutaneous), 0BBC7ZZ (via natural or artificial opening) and 0BBC8ZZ (via natural or artificial opening endoscopic).
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
- BExcision
Cutting out or off, without replacement, a portion of a body part
The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies
Includes: Partial nephrectomy, liver biopsy
- 4. Body Part
- CUpper Lung Lobe, Right
- 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
Different body part
- 0BB14ZZTrachea
- 0BB24ZZCarina
- 0BB34ZZMain Bronchus, Right
- 0BB44ZZUpper Lobe Bronchus, Right
- 0BB54ZZMiddle Lobe Bronchus, Right
- 0BB64ZZLower Lobe Bronchus, Right
- 0BB74ZZMain Bronchus, Left
- 0BB84ZZUpper Lobe Bronchus, Left
- 0BB94ZZLingula Bronchus
- 0BBB4ZZLower Lobe Bronchus, Left
- 0BBD4ZZMiddle Lung Lobe, Right
- 0BBF4ZZLower Lung Lobe, Right
Different approach
Different qualifier
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 04 · Diseases and Disorders of the Respiratory System · Major Chest Procedures
MDC 17 · Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms · Lymphoma and Leukemia with Major O.R. Procedures
MDC 17 · Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms · Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
- 826Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCCRW 4.7581
- 827Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with CCRW 2.3896
- 828Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures without CC/MCCRW 1.6955
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →- 32.20Thoracoscopic excision of lesion or tissue of lungapproximate
- 32.30Thoracoscopic segmental resection of lungapproximate
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 0BBC4ZZ
Is 0BBC4ZZ a valid ICD-10-PCS code for 2027?
- Yes. 0BBC4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0BBC4ZZ an O.R. procedure?
- Yes. 0BBC4ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0BBC4ZZ group to?
- Depending on the principal diagnosis, 0BBC4ZZ 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 0BBC4ZZ?
- The CMS GEMs map 0BBC4ZZ to ICD-9-CM 32.20 (Thoracoscopic excision of lesion or tissue of lung) and 32.30 (Thoracoscopic segmental resection of lung).