ICD-10-PCS 2027 procedure code
0BDN4ZXExtraction of Right Pleura, Percutaneous Endoscopic Approach, Diagnostic
Short description: Extraction 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 0BDN4ZX
0BDN4ZX is the ICD-10-PCS code for a extraction procedure on the right pleura using a percutaneous endoscopic approach (qualifier: diagnostic). In ICD-10-PCS, extraction means pulling or stripping out or off all or a portion of a body part by the use of force.
In plain terms, this corresponds to thoracoscopic decortication of lung, the ICD-9-CM procedure title it maps to (34.52).
For a different body part, codes include 0BD14ZX (trachea), 0BD24ZX (carina), 0BD34ZX (right main bronchus), 0BD44ZX (right upper lobe bronchus), 0BD54ZX (right middle lobe bronchus), 0BD64ZX (right lower lobe bronchus) and 14 more.
The same procedure with a different approach is coded 0BDN0ZX (open) and 0BDN3ZX (percutaneous).
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
- DExtraction
Pulling or stripping out or off all or a portion of a body part by the use of force
The qualifier DIAGNOSTIC is used to identify extraction procedures that are biopsies
Includes: Dilation and curettage, vein stripping
- 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
- 0BD14ZXTrachea
- 0BD24ZXCarina
- 0BD34ZXMain Bronchus, Right
- 0BD44ZXUpper Lobe Bronchus, Right
- 0BD54ZXMiddle Lobe Bronchus, Right
- 0BD64ZXLower Lobe Bronchus, Right
- 0BD74ZXMain Bronchus, Left
- 0BD84ZXUpper Lobe Bronchus, Left
- 0BD94ZXLingula Bronchus
- 0BDB4ZXLower Lobe Bronchus, Left
- 0BDC4ZXUpper Lung Lobe, Right
- 0BDD4ZXMiddle 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 →- 34.52Thoracoscopic decortication 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 0BDN4ZX
Is 0BDN4ZX a valid ICD-10-PCS code for 2027?
- Yes. 0BDN4ZX is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0BDN4ZX an O.R. procedure?
- Yes. 0BDN4ZX is an O.R. procedure in MS-DRG v44.0.
What DRG does 0BDN4ZX group to?
- Depending on the principal diagnosis, 0BDN4ZX 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 0BDN4ZX?
- The CMS GEMs map 0BDN4ZX to ICD-9-CM 34.52 (Thoracoscopic decortication of lung).