ICD-10-PCS 2027 procedure code
0BBN4ZXExcision of Right Pleura, Percutaneous Endoscopic Approach, Diagnostic
Short description: Excision of Right Pleura, Perc Endo Approach, Diagn
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 0BBN4ZX
0BBN4ZX is the ICD-10-PCS code for a excision procedure on the right pleura using a percutaneous endoscopic approach (qualifier: diagnostic). 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 pleural biopsy, the ICD-9-CM procedure title it maps to (34.20).
For a different body part, codes include 0BB14ZX (trachea), 0BB24ZX (carina), 0BB34ZX (right main bronchus), 0BB44ZX (right upper lobe bronchus), 0BB54ZX (right middle lobe bronchus), 0BB64ZX (right lower lobe bronchus) and 15 more.
The same procedure with a different approach is coded 0BBN0ZX (open), 0BBN3ZX (percutaneous) and 0BBN8ZX (via natural or artificial opening endoscopic).
It is an operating-room procedure in the MS-DRG logic for 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 category “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
- 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
- NPleura, 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
- XDiagnostic
Other versions of this procedure
Different body part
- 0BB14ZXTrachea
- 0BB24ZXCarina
- 0BB34ZXMain Bronchus, Right
- 0BB44ZXUpper Lobe Bronchus, Right
- 0BB54ZXMiddle Lobe Bronchus, Right
- 0BB64ZXLower Lobe Bronchus, Right
- 0BB74ZXMain Bronchus, Left
- 0BB84ZXUpper Lobe Bronchus, Left
- 0BB94ZXLingula Bronchus
- 0BBB4ZXLower Lobe Bronchus, Left
- 0BBC4ZXUpper Lung Lobe, Right
- 0BBD4ZXMiddle Lung Lobe, Right
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 · Other Respiratory System O.R. Procedures
ICD-9-CM equivalent
Converter →- 34.20Thoracoscopic pleural biopsyapproximate
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 0BBN4ZX
Is 0BBN4ZX a valid ICD-10-PCS code for 2027?
- Yes. 0BBN4ZX is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0BBN4ZX an O.R. procedure?
- Yes. 0BBN4ZX is an O.R. procedure in MS-DRG v44.0.
What DRG does 0BBN4ZX group to?
- Depending on the principal diagnosis, 0BBN4ZX can group to MS-DRG 166, MS-DRG 167 and MS-DRG 168.
What is the ICD-9 procedure code for 0BBN4ZX?
- The CMS GEMs map 0BBN4ZX to ICD-9-CM 34.20 (Thoracoscopic pleural biopsy).