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ICD-10-PCS 2027 procedure code

0BW18FZRevision of Tracheostomy Device in Trachea, Via Natural or Artificial Opening Endoscopic

✓ Valid for 2027O.R. procedure

Short description: Revision of Tracheostomy Device in Trachea, Endo

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 0BW18FZ

0BW18FZ is the ICD-10-PCS code for a revision procedure on the trachea using a via natural or artificial opening endoscopic approach with tracheostomy 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 other incision of larynx or trachea, the ICD-9-CM procedure title it maps to (31.3).

The same procedure with a different approach is coded 0BW10FZ (open), 0BW13FZ (percutaneous), 0BW14FZ (percutaneous endoscopic), 0BW17FZ (via natural or artificial opening) and 0BW1XFZ (external).

With a different device, use 0BW180Z (drainage device), 0BW182Z (monitoring device), 0BW187Z (autologous tissue substitute), 0BW18CZ (extraluminal device), 0BW18DZ (intraluminal device), 0BW18JZ (synthetic substitute) and 1 more.

It is an operating-room procedure in the MS-DRG logic for DRG 166 (Other Respiratory System O.R. Procedures with MCC), DRG 167 (Other Respiratory System O.R. Procedures with CC) and DRG 168 (Other Respiratory System O.R. Procedures without CC/MCC), under the surgical category “Other Respiratory System O.R. 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
1Trachea
5. Approach
8Via Natural or Artificial Opening Endoscopic

Entry of instrumentation through a natural or artificial external opening to reach and visualize the site of the procedure

6. Device
FTracheostomy Device
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 →
  • 31.3Other incision of larynx or tracheaapproximate

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 0BW18FZ

Is 0BW18FZ a valid ICD-10-PCS code for 2027?

Yes. 0BW18FZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0BW18FZ an O.R. procedure?

Yes. 0BW18FZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0BW18FZ group to?

Depending on the principal diagnosis, 0BW18FZ can group to MS-DRG 166, MS-DRG 167 and MS-DRG 168.

What is the ICD-9 procedure code for 0BW18FZ?

The CMS GEMs map 0BW18FZ to ICD-9-CM 31.3 (Other incision of larynx or trachea).