ICD-10-PCS 2027 procedure code
0BTM4ZZResection of Bilateral Lungs, Percutaneous Endoscopic Approach
Short description: Resection of Bilateral Lungs, Perc Endo 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 0BTM4ZZ
0BTM4ZZ is the ICD-10-PCS code for a resection procedure on the bilateral lungs using a percutaneous endoscopic approach. In ICD-10-PCS, resection means cutting out or off, without replacement, all of a body part.
In plain terms, this corresponds to thoracoscopic pneumonectomy, the ICD-9-CM procedure title it maps to (32.50).
For a different body part, codes include 0BT14ZZ (trachea), 0BT24ZZ (carina), 0BT34ZZ (right main bronchus), 0BT44ZZ (right upper lobe bronchus), 0BT54ZZ (right middle lobe bronchus), 0BT64ZZ (right lower lobe bronchus) and 13 more.
The same procedure with a different approach is coded 0BTM0ZZ (open).
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
- TResection
Cutting out or off, without replacement, all of a body part
Includes: Total nephrectomy, total lobectomy of lung
- 4. Body Part
- MLungs, Bilateral
- 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
- 0BT14ZZTrachea
- 0BT24ZZCarina
- 0BT34ZZMain Bronchus, Right
- 0BT44ZZUpper Lobe Bronchus, Right
- 0BT54ZZMiddle Lobe Bronchus, Right
- 0BT64ZZLower Lobe Bronchus, Right
- 0BT74ZZMain Bronchus, Left
- 0BT84ZZUpper Lobe Bronchus, Left
- 0BT94ZZLingula Bronchus
- 0BTB4ZZLower Lobe Bronchus, Left
- 0BTC4ZZUpper Lung Lobe, Right
- 0BTD4ZZMiddle Lung Lobe, Right
Different approach
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 →- 32.50Thoracoscopic pneumonectomyapproximate
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 0BTM4ZZ
Is 0BTM4ZZ a valid ICD-10-PCS code for 2027?
- Yes. 0BTM4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0BTM4ZZ an O.R. procedure?
- Yes. 0BTM4ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0BTM4ZZ group to?
- Depending on the principal diagnosis, 0BTM4ZZ 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 0BTM4ZZ?
- The CMS GEMs map 0BTM4ZZ to ICD-9-CM 32.50 (Thoracoscopic pneumonectomy).