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ICD-10-PCS 2027 procedure code

0BBP4ZXExcision of Left Pleura, Percutaneous Endoscopic Approach, Diagnostic

✓ Valid for 2027O.R. procedure

Short description: Excision of Left 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 0BBP4ZX

0BBP4ZX is the ICD-10-PCS code for a excision procedure on the left 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 0BBP0ZX (open), 0BBP3ZX (percutaneous) and 0BBP8ZX (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
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
XDiagnostic

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 →
  • 34.20Thoracoscopic pleural biopsyapproximate

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 0BBP4ZX

Is 0BBP4ZX a valid ICD-10-PCS code for 2027?

Yes. 0BBP4ZX is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0BBP4ZX an O.R. procedure?

Yes. 0BBP4ZX is an O.R. procedure in MS-DRG v44.0.

What DRG does 0BBP4ZX group to?

Depending on the principal diagnosis, 0BBP4ZX can group to MS-DRG 166, MS-DRG 167 and MS-DRG 168.

What is the ICD-9 procedure code for 0BBP4ZX?

The CMS GEMs map 0BBP4ZX to ICD-9-CM 34.20 (Thoracoscopic pleural biopsy).