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ICD-10-PCS 2027 procedure code

0BW04JZRevision of Synthetic Substitute in Tracheobronchial Tree, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Revise of Synth Sub 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 0BW04JZ

0BW04JZ is the ICD-10-PCS code for a revision procedure on the tracheobronchial tree using a percutaneous endoscopic approach with synthetic substitute. 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 0BW14JZ (trachea) and 0BWT4JZ (diaphragm).

The same procedure with a different approach is coded 0BW00JZ (open), 0BW03JZ (percutaneous), 0BW07JZ (via natural or artificial opening), 0BW08JZ (via natural or artificial opening endoscopic) and 0BW0XJZ (external).

With a different device, use 0BW040Z (drainage device), 0BW042Z (monitoring device), 0BW043Z (infusion device), 0BW047Z (autologous tissue substitute), 0BW04CZ (extraluminal device), 0BW04DZ (intraluminal device) 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
JSynthetic Substitute

Includes: AbioCor(R) Total Replacement Heart; AMPLATZER(R) Muscular VSD Occluder; Annuloplasty ring; Bard(R) Composix(R) (E/X)(LP) mesh; Bard(R) Composix(R) Kugel(R) patch; Bard(R) Dulex(tm) mesh; Bard(R) Ventralex(tm) hernia patch; Barricaid(R) Annular Closure Device (ACD); BRYAN(R) Cervical Disc System; Corvia IASD(R); Ex-PRESS(tm) mini glaucoma shunt; Flexible Composite Mesh; GORE(R) ACUSEAL Vascular Graft; GORE(R) CARDIOFORM Septal Occluder; GORE(R) DUALMESH(R); GORE(R) PROPATEN(R) Vascular Graft; GORE(R) VIATORR(R) TIPS Endoprosthesis; Holter valve ventricular shunt; IASD(R) (InterAtrial Shunt Device), Corvia; InterAtrial Shunt Device IASD(R), Corvia; LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System; MitraClip valve repair system; Nitinol framed polymer mesh; Open Pivot (mechanical) valve; Open Pivot Aortic Valve Graft (AVG); Partially absorbable mesh; PHYSIOMESH(tm) Flexible Composite Mesh; Polymethylmethacrylate (PMMA); Polypropylene mesh; PRESTIGE(R) Cervical Disc; PROCEED(tm) Ventral Patch; Prodisc-C; Prodisc-L; PROLENE Polypropylene Hernia System (PHS); Rebound HRD(R) (Hernia Repair Device); SynCardia Total Artificial Heart; Total artificial (replacement) heart; ULTRAPRO Hernia System (UHS); ULTRAPRO Partially Absorbable Lightweight Mesh; ULTRAPRO Plug; V-Wave Interatrial Shunt System; Ventrio(tm) Hernia Patch; Zimmer(R) NexGen(R) LPS Mobile Bearing Knee; Zimmer(R) NexGen(R) LPS-Flex Mobile Knee

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 0BW04JZ

Is 0BW04JZ a valid ICD-10-PCS code for 2027?

Yes. 0BW04JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0BW04JZ an O.R. procedure?

Yes. 0BW04JZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0BW04JZ group to?

Depending on the principal diagnosis, 0BW04JZ can group to MS-DRG 163, MS-DRG 164 and MS-DRG 165.

What is the ICD-9 procedure code for 0BW04JZ?

The CMS GEMs map 0BW04JZ to ICD-9-CM 33.0 (Incision of bronchus).