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ICD-10-PCS 2027 procedure code

0GW540ZRevision of Drainage Device in Adrenal Gland, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Revision of Drain Dev in Adrenal Gland, 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 0GW540Z

0GW540Z is the ICD-10-PCS code for a revision procedure on the adrenal gland 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 adrenal gland, the ICD-9-CM procedure title it maps to (07.41).

For a different body part, codes include 0GW040Z (pituitary gland), 0GW140Z (pineal body), 0GWK40Z (thyroid gland), 0GWR40Z (parathyroid gland) and 0GWS40Z (endocrine gland).

The same procedure with a different approach is coded 0GW500Z (open), 0GW530Z (percutaneous) and 0GW5X0Z (external).

It is an operating-room procedure in the MS-DRG logic for DRG 614 (Adrenal and Pituitary Procedures with CC/MCC) and DRG 615 (Adrenal and Pituitary Procedures without CC/MCC), under the surgical category “Adrenal and Pituitary 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
GEndocrine 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
5Adrenal Gland

Includes: Suprarenal gland

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.

MDC 10 · Endocrine, Nutritional and Metabolic Diseases and Disorders · Adrenal and Pituitary Procedures

ICD-9-CM equivalent

Converter →
  • 07.41Incision of adrenal glandapproximate

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 0GW540Z

Is 0GW540Z a valid ICD-10-PCS code for 2027?

Yes. 0GW540Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0GW540Z an O.R. procedure?

Yes. 0GW540Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0GW540Z group to?

Depending on the principal diagnosis, 0GW540Z can group to MS-DRG 614 and MS-DRG 615.

What is the ICD-9 procedure code for 0GW540Z?

The CMS GEMs map 0GW540Z to ICD-9-CM 07.41 (Incision of adrenal gland).