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ICD-10-PCS 2027 procedure code

0CTM4ZZResection of Pharynx, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

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 0CTM4ZZ

0CTM4ZZ is the ICD-10-PCS code for a resection procedure on the pharynx 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 Pharyngectomy (partial), the ICD-9-CM procedure title it maps to (29.33).

For a different body part, codes include 0CTR4ZZ (epiglottis), 0CTS4ZZ (larynx), 0CTT4ZZ (right vocal cord) and 0CTV4ZZ (left vocal cord).

The same procedure with a different approach is coded 0CTM0ZZ (open), 0CTM7ZZ (via natural or artificial opening) and 0CTM8ZZ (via natural or artificial opening endoscopic).

It is an operating-room procedure in the MS-DRG logic for DRG 143 (Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC), DRG 144 (Other Ear, Nose, Mouth and Throat O.R. Procedures with CC), DRG 145 (Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC), DRG 326 (Stomach, Esophageal and Duodenal Procedures with MCC), DRG 327 (Stomach, Esophageal and Duodenal Procedures with CC) and DRG 328 (Stomach, Esophageal and Duodenal Procedures without CC/MCC), under the surgical categories “Other Ear, Nose, Mouth and Throat O.R. Procedures” and “Stomach, Esophageal and Duodenal 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
CMouth and Throat
3. Operation
TResection

Cutting out or off, without replacement, all of a body part

Includes: Total nephrectomy, total lobectomy of lung

4. Body Part
MPharynx

Includes: Base of Tongue; Hypopharynx; Laryngopharynx; Lingual tonsil; Oropharynx; Piriform recess (sinus); Tongue, base of

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

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 →
  • 29.33Pharyngectomy (partial)approximate

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 0CTM4ZZ

Is 0CTM4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0CTM4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0CTM4ZZ an O.R. procedure?

Yes. 0CTM4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0CTM4ZZ group to?

Depending on the principal diagnosis, 0CTM4ZZ can group to MS-DRG 143, MS-DRG 144, MS-DRG 145, MS-DRG 326, MS-DRG 327 and MS-DRG 328.

What is the ICD-9 procedure code for 0CTM4ZZ?

The CMS GEMs map 0CTM4ZZ to ICD-9-CM 29.33 (Pharyngectomy (partial)).