ICD-10-PCS 2027 procedure code
0W9C00ZDrainage of Mediastinum with Drainage Device, Open 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 0W9C00Z
0W9C00Z is the ICD-10-PCS code for a drainage procedure on the mediastinum using an open approach with drainage device. In ICD-10-PCS, drainage means taking or letting out fluids and/or gases from a body part.
In plain terms, this corresponds to incision of mediastinum, the ICD-9-CM procedure title it maps to (34.1).
For a different body part, codes include 0W9000Z (head), 0W9100Z (cranial cavity), 0W9200Z (face), 0W9300Z (oral cavity and throat), 0W9400Z (upper jaw), 0W9500Z (lower jaw) and 13 more.
The same procedure with a different approach is coded 0W9C30Z (percutaneous) and 0W9C40Z (percutaneous endoscopic).
With a different device, use 0W9C0ZZ (no device).
It is an operating-room procedure in the MS-DRG logic for DRG 166 (Other Respiratory System O.R. Procedures with MCC), DRG 167 (Other Respiratory System O.R. Procedures with CC), DRG 168 (Other Respiratory System O.R. Procedures without CC/MCC), DRG 361 (Other Circulatory System O.R. Procedures with MCC), DRG 362 (Other Circulatory System O.R. Procedures without MCC) and DRG 907 (Other O.R. Procedures for Injuries with MCC), under the surgical categories “Other Respiratory System O.R. Procedures”, “Other Circulatory System O.R. Procedures”, “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
- WAnatomical Regions, General
- 3. Operation
- 9Drainage
Taking or letting out fluids and/or gases from a body part
The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Includes: Thoracentesis, incision and drainage
- 4. Body Part
- CMediastinum
Includes: Mediastinal cavity; Mediastinal space
- 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
- 0Drainage Device
Includes: Cystostomy tube; Foley catheter; Percutaneous nephrostomy catheter; Thoracostomy tube
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
Different approach
Different device
Different qualifier
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 04 · Diseases and Disorders of the Respiratory System · Other Respiratory System O.R. Procedures
MDC 05 · Diseases and Disorders of the Circulatory System · Other Circulatory System O.R. Procedures
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →- 34.1Incision of mediastinumapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 0W9C00Z
Is 0W9C00Z a valid ICD-10-PCS code for 2027?
- Yes. 0W9C00Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0W9C00Z an O.R. procedure?
- Yes. 0W9C00Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0W9C00Z group to?
- Depending on the principal diagnosis, 0W9C00Z can group to MS-DRG 166, MS-DRG 167, MS-DRG 168, MS-DRG 361, MS-DRG 362 and MS-DRG 907.
What is the ICD-9 procedure code for 0W9C00Z?
- The CMS GEMs map 0W9C00Z to ICD-9-CM 34.1 (Incision of mediastinum).