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ICD-10-PCS 2027 procedure code

0BBH4ZZExcision of Lung Lingula, 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 0BBH4ZZ

0BBH4ZZ is the ICD-10-PCS code for a excision procedure on the lung lingula 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 0BBH0ZZ (open), 0BBH3ZZ (percutaneous), 0BBH7ZZ (via natural or artificial opening) and 0BBH8ZZ (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
HLung Lingula
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 qualifier

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 →
  • 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

  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 0BBH4ZZ

Is 0BBH4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0BBH4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0BBH4ZZ an O.R. procedure?

Yes. 0BBH4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0BBH4ZZ group to?

Depending on the principal diagnosis, 0BBH4ZZ 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 0BBH4ZZ?

The CMS GEMs map 0BBH4ZZ to ICD-9-CM 32.20 (Thoracoscopic excision of lesion or tissue of lung) and 32.30 (Thoracoscopic segmental resection of lung).