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ICD-10-PCS 2027 procedure code

0BWQ40ZRevision of Drainage Device in Pleura, Percutaneous Endoscopic Approach

✓ Valid for 2027

Short description: Revision of Drainage Device in Pleura, 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 0BWQ40Z

0BWQ40Z is the ICD-10-PCS code for a revision procedure on the pleura 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 other incision of pleura, the ICD-9-CM procedure title it maps to (34.09).

For a different body part, codes include 0BW040Z (tracheobronchial tree), 0BW140Z (trachea), 0BWK40Z (right lung), 0BWL40Z (left lung) and 0BWT40Z (diaphragm).

The same procedure with a different approach is coded 0BWQ00Z (open), 0BWQ30Z (percutaneous), 0BWQ70Z (via natural or artificial opening), 0BWQ80Z (via natural or artificial opening endoscopic) and 0BWQX0Z (external).

With a different device, use 0BWQ42Z (monitoring device) and 0BWQ4YZ (other device).

It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.

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
QPleura
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

ICD-9-CM equivalent

Converter →
  • 34.09Other incision of pleuraapproximate

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 0BWQ40Z

Is 0BWQ40Z a valid ICD-10-PCS code for 2027?

Yes. 0BWQ40Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 0BWQ40Z?

The CMS GEMs map 0BWQ40Z to ICD-9-CM 34.09 (Other incision of pleura).