ICD-10-PCS 2027 procedure code
0BBP4ZZExcision of Left Pleura, Percutaneous Endoscopic 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 0BBP4ZZ
0BBP4ZZ is the ICD-10-PCS code for a excision procedure on the left pleura 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 other excision of pleura, the ICD-9-CM procedure title it maps to (34.59).
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 0BBP0ZZ (open), 0BBP3ZZ (percutaneous) and 0BBP8ZZ (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 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC) and DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), under the surgical categories “Major Chest Procedures”, “Other O.R. Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.
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
- 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
- 0BBC4ZZUpper Lung Lobe, Right
- 0BBD4ZZMiddle 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 · Major Chest Procedures
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 →- 34.59Other excision of pleuraapproximate
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 0BBP4ZZ
Is 0BBP4ZZ a valid ICD-10-PCS code for 2027?
- Yes. 0BBP4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0BBP4ZZ an O.R. procedure?
- Yes. 0BBP4ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0BBP4ZZ group to?
- Depending on the principal diagnosis, 0BBP4ZZ can group to MS-DRG 163, MS-DRG 164, MS-DRG 165, MS-DRG 907, MS-DRG 908 and MS-DRG 909.
What is the ICD-9 procedure code for 0BBP4ZZ?
- The CMS GEMs map 0BBP4ZZ to ICD-9-CM 34.59 (Other excision of pleura).