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ICD-10-PCS 2027 procedure code

0N5V4ZZDestruction of Left Mandible, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Destruction of Left Mandible, 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 0N5V4ZZ

0N5V4ZZ is the ICD-10-PCS code for a destruction procedure on the left mandible using a percutaneous endoscopic approach. In ICD-10-PCS, destruction means physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent.

In plain terms, this corresponds to local excision or destruction of lesion of facial bone, the ICD-9-CM procedure title it maps to (76.2).

For a different body part, codes include 0N504ZZ (skull), 0N514ZZ (frontal bone), 0N534ZZ (right parietal bone), 0N544ZZ (left parietal bone), 0N554ZZ (right temporal bone), 0N564ZZ (left temporal bone) and 16 more.

The same procedure with a different approach is coded 0N5V0ZZ (open) and 0N5V3ZZ (percutaneous).

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 495 (Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with MCC), DRG 496 (Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with CC) and DRG 497 (Local Excision and Removal of Internal Fixation Devices Except Hip and Femur without CC/MCC), under the surgical categories “Other Ear, Nose, Mouth and Throat O.R. Procedures”, “Local Excision and Removal of Internal Fixation Devices Except Hip and Femur”, “Other O.R. Procedures for Injuries” and 1 more.

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
NHead and Facial Bones
3. Operation
5Destruction

Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent

None of the body part is physically taken out

Includes: Fulguration of rectal polyp, cautery of skin lesion

4. Body Part
VMandible, Left

Includes: Alveolar process of mandible; Condyloid process; Mandibular notch; Mental foramen

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 →
  • 76.2Local excision or destruction of lesion of facial boneapproximate

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 0N5V4ZZ

Is 0N5V4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0N5V4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0N5V4ZZ an O.R. procedure?

Yes. 0N5V4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0N5V4ZZ group to?

Depending on the principal diagnosis, 0N5V4ZZ can group to MS-DRG 143, MS-DRG 144, MS-DRG 145, MS-DRG 495, MS-DRG 496 and MS-DRG 497.

What is the ICD-9 procedure code for 0N5V4ZZ?

The CMS GEMs map 0N5V4ZZ to ICD-9-CM 76.2 (Local excision or destruction of lesion of facial bone).