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ICD-10-PCS 2027 procedure code

0MBD4ZXExcision of Lower Spine Bursa and Ligament, Percutaneous Endoscopic Approach, Diagnostic

✓ Valid for 2027

Short description: Excision of Lw Spine Bursa/Lig, Perc Endo Approach, Diagn

Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0MBD4ZX

0MBD4ZX is the ICD-10-PCS code for a excision procedure on the lower spine bursa and ligament using a percutaneous endoscopic approach (qualifier: diagnostic). In ICD-10-PCS, excision means cutting out or off, without replacement, a portion of a body part.

In plain terms, this corresponds to biopsy of joint structure, other specified sites and other diagnostic procedures on muscle, tendon, fascia, and bursa, including that of hand, the ICD-9-CM procedure titles it maps to (80.39 and 83.29).

For a different body part, codes include 0MB04ZX (head and neck bursa and ligament), 0MB14ZX (right shoulder bursa and ligament), 0MB24ZX (left shoulder bursa and ligament), 0MB34ZX (right elbow bursa and ligament), 0MB44ZX (left elbow bursa and ligament), 0MB54ZX (right wrist bursa and ligament) and 21 more.

The same procedure with a different approach is coded 0MBD0ZX (open) and 0MBD3ZX (percutaneous).

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
MBursae and Ligaments
3. Operation
BExcision

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

The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies

Includes: Partial nephrectomy, liver biopsy

4. Body Part
DLower Spine Bursa and Ligament

Includes: Iliolumbar ligament; Interspinous ligament, lumbar; Intertransverse ligament, lumbar; Ligamentum flavum, lumbar; Sacrococcygeal ligament; Sacroiliac ligament; Sacrospinous ligament; Sacrotuberous ligament; Supraspinous ligament

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
XDiagnostic

Other versions of this procedure

Different qualifier

ICD-9-CM equivalent

Converter →
  • 80.39Biopsy of joint structure, other specified sitesapproximate
  • 83.29Other diagnostic procedures on muscle, tendon, fascia, and bursa, including that of handapproximate

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)
  • FY2018 (effective 10/1/2017): Title revised — was “Excision of Left Trunk Bursa and Ligament, Percutaneous Endoscopic Approach, Diagnostic”

Common questions about 0MBD4ZX

Is 0MBD4ZX a valid ICD-10-PCS code for 2027?

Yes. 0MBD4ZX is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 0MBD4ZX?

The CMS GEMs map 0MBD4ZX to ICD-9-CM 80.39 (Biopsy of joint structure, other specified sites) and 83.29 (Other diagnostic procedures on muscle, tendon, fascia, and bursa, including that of hand).