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ICD-10-PCS 2027 procedure code

0MCD4ZZExtirpation of Matter from Lower Spine Bursa and Ligament, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Extirpate matter from Lw Spine Bursa/Lig, Perc Endo

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 0MCD4ZZ

0MCD4ZZ is the ICD-10-PCS code for a extirpation procedure on the lower spine bursa and ligament using a percutaneous endoscopic approach. In ICD-10-PCS, extirpation means taking or cutting out solid matter from a body part.

In plain terms, this corresponds to other arthrotomy, other specified sites and Bursotomy, the ICD-9-CM procedure titles it maps to (80.19 and 83.03).

For a different body part, codes include 0MC04ZZ (head and neck bursa and ligament), 0MC14ZZ (right shoulder bursa and ligament), 0MC24ZZ (left shoulder bursa and ligament), 0MC34ZZ (right elbow bursa and ligament), 0MC44ZZ (left elbow bursa and ligament), 0MC54ZZ (right wrist bursa and ligament) and 21 more.

The same procedure with a different approach is coded 0MCD0ZZ (open) and 0MCD3ZZ (percutaneous).

It is an operating-room procedure in the MS-DRG logic for DRG 500 (Soft Tissue Procedures with MCC), DRG 501 (Soft Tissue Procedures with CC), DRG 502 (Soft Tissue Procedures without CC/MCC), DRG 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC) and DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), under the surgical categories “Soft Tissue Procedures”, “Other O.R. Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.

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
CExtirpation

Taking or cutting out solid matter from a body part

The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces

Includes: Thrombectomy, choledocholithotomy

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
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 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Soft Tissue Procedures

ICD-9-CM equivalent

Converter →
  • 80.19Other arthrotomy, other specified sitesapproximate
  • 83.03Bursotomyapproximate

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 “Extirpation of Matter from Left Trunk Bursa and Ligament, Percutaneous Endoscopic Approach”

Common questions about 0MCD4ZZ

Is 0MCD4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0MCD4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0MCD4ZZ an O.R. procedure?

Yes. 0MCD4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0MCD4ZZ group to?

Depending on the principal diagnosis, 0MCD4ZZ can group to MS-DRG 500, MS-DRG 501, MS-DRG 502, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0MCD4ZZ?

The CMS GEMs map 0MCD4ZZ to ICD-9-CM 80.19 (Other arthrotomy, other specified sites) and 83.03 (Bursotomy).