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ICD-10-PCS 2027 procedure code

0PB40ZZExcision of Thoracic Vertebra, Open 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 0PB40ZZ

0PB40ZZ is the ICD-10-PCS code for a excision procedure on the thoracic vertebra using an open approach. In ICD-10-PCS, excision means cutting out or off, without replacement, a portion of a body part.

In plain terms, this corresponds to local excision of lesion or tissue of bone, unspecified site, local excision of lesion or tissue of bone, other bones and other partial ostectomy, other bones, the ICD-9-CM procedure titles it maps to (77.60, 77.69 and 77.89).

For a different body part, codes include 0PB00ZZ (sternum), 0PB10ZZ (ribs, 1 to 2), 0PB20ZZ (ribs, 3 or more), 0PB30ZZ (cervical vertebra), 0PB50ZZ (right scapula), 0PB60ZZ (left scapula) and 20 more.

The same procedure with a different approach is coded 0PB43ZZ (percutaneous) and 0PB44ZZ (percutaneous 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 515 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC), DRG 516 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC) and DRG 517 (Other Musculoskeletal System and Connective Tissue O.R. Procedures without CC/MCC), under the surgical categories “Other Ear, Nose, Mouth and Throat O.R. Procedures”, “Other Musculoskeletal System and Connective Tissue O.R. Procedures”, “Other Endocrine, Nutritional and Metabolic O.R. Procedures” and 2 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
PUpper Bones
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
4Thoracic Vertebra

Includes: Spinous process; Transverse process; Vertebral arch; Vertebral body; Vertebral foramen; Vertebral lamina; Vertebral pedicle

5. Approach
0Open

Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

6. Device
ZNo Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

Different qualifier

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 →
  • 77.60Local excision of lesion or tissue of bone, unspecified siteapproximate
  • 77.69Local excision of lesion or tissue of bone, other bonesapproximate
  • 77.89Other partial ostectomy, other bonesapproximate

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 0PB40ZZ

Is 0PB40ZZ a valid ICD-10-PCS code for 2027?

Yes. 0PB40ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0PB40ZZ an O.R. procedure?

Yes. 0PB40ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0PB40ZZ group to?

Depending on the principal diagnosis, 0PB40ZZ can group to MS-DRG 143, MS-DRG 144, MS-DRG 145, MS-DRG 515, MS-DRG 516 and MS-DRG 517.

What is the ICD-9 procedure code for 0PB40ZZ?

The CMS GEMs map 0PB40ZZ to ICD-9-CM 77.60 (Local excision of lesion or tissue of bone, unspecified site), 77.69 (Local excision of lesion or tissue of bone, other bones) and 77.89 (Other partial ostectomy, other bones).