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ICD-10-PCS 2027 procedure code

0BW040ZRevision of Drainage Device in Tracheobronchial Tree, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Revise of Drain Dev in Tracheobronc Tree, 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 0BW040Z

0BW040Z is the ICD-10-PCS code for a revision procedure on the tracheobronchial tree using a percutaneous endoscopic approach with drainage device. In ICD-10-PCS, revision means correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device.

In plain terms, this corresponds to incision of bronchus, the ICD-9-CM procedure title it maps to (33.0).

For a different body part, codes include 0BW140Z (trachea), 0BWK40Z (right lung), 0BWL40Z (left lung), 0BWQ40Z (pleura) and 0BWT40Z (diaphragm).

The same procedure with a different approach is coded 0BW000Z (open), 0BW030Z (percutaneous), 0BW070Z (via natural or artificial opening), 0BW080Z (via natural or artificial opening endoscopic) and 0BW0X0Z (external).

With a different device, use 0BW042Z (monitoring device), 0BW043Z (infusion device), 0BW047Z (autologous tissue substitute), 0BW04CZ (extraluminal device), 0BW04DZ (intraluminal device), 0BW04JZ (synthetic substitute) and 2 more.

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) and DRG 165 (Major Chest Procedures without CC/MCC), under the surgical category “Major Chest 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
WRevision

Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device

Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as a screw or pin

Includes: Adjustment of position of pacemaker lead, recementing of hip prosthesis

4. Body Part
0Tracheobronchial Tree
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
0Drainage Device

Includes: Cystostomy tube; Foley catheter; Percutaneous nephrostomy catheter; Thoracostomy tube

7. Qualifier
ZNo Qualifier

Other versions of this procedure

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 →
  • 33.0Incision of bronchusapproximate

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 0BW040Z

Is 0BW040Z a valid ICD-10-PCS code for 2027?

Yes. 0BW040Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0BW040Z an O.R. procedure?

Yes. 0BW040Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0BW040Z group to?

Depending on the principal diagnosis, 0BW040Z can group to MS-DRG 163, MS-DRG 164 and MS-DRG 165.

What is the ICD-9 procedure code for 0BW040Z?

The CMS GEMs map 0BW040Z to ICD-9-CM 33.0 (Incision of bronchus).