ICD-10-PCS 2027 procedure code
0WBC0ZXExcision of Mediastinum, Open Approach, Diagnostic
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 0WBC0ZX
0WBC0ZX is the ICD-10-PCS code for a excision procedure on the mediastinum using an open 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 open mediastinal biopsy, the ICD-9-CM procedure title it maps to (34.26).
For a different body part, codes include 0WB00ZX (head), 0WB20ZX (face), 0WB30ZX (oral cavity and throat), 0WB40ZX (upper jaw), 0WB50ZX (lower jaw), 0WB60ZX (neck) and 7 more.
The same procedure with a different approach is coded 0WBC3ZX (percutaneous) and 0WBC4ZX (percutaneous endoscopic).
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 628 (Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC or Insertion of Antibiotic-eluting Bone Void Filler), under the surgical categories “Other Respiratory System O.R. Procedures”, “Other Circulatory System O.R. Procedures”, “Other Endocrine, Nutritional and Metabolic O.R. Procedures” and 3 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
- 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
- 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
- ZNo Device
- 7. Qualifier
- XDiagnostic
Other versions of this procedure
Different body part
Different approach
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 10 · Endocrine, Nutritional and Metabolic Diseases and Disorders · Other Endocrine, Nutritional and Metabolic O.R. Procedures
MDC 16 · Diseases and Disorders of the Blood and Blood Forming Organs and Immunological Disorders · Other O.R. Procedures of the Blood and Blood Forming Organs
MDC 17 · Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms · Lymphoma and Leukemia with Major O.R. Procedures
MDC 17 · Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms · Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
- 826Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCCRW 4.7581
- 827Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with CCRW 2.3896
- 828Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures without CC/MCCRW 1.6955
ICD-9-CM equivalent
Converter →- 34.26Open mediastinal biopsyapproximate
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 0WBC0ZX
Is 0WBC0ZX a valid ICD-10-PCS code for 2027?
- Yes. 0WBC0ZX is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0WBC0ZX an O.R. procedure?
- Yes. 0WBC0ZX is an O.R. procedure in MS-DRG v44.0.
What DRG does 0WBC0ZX group to?
- Depending on the principal diagnosis, 0WBC0ZX can group to MS-DRG 166, MS-DRG 167, MS-DRG 168, MS-DRG 361, MS-DRG 362 and MS-DRG 628.
What is the ICD-9 procedure code for 0WBC0ZX?
- The CMS GEMs map 0WBC0ZX to ICD-9-CM 34.26 (Open mediastinal biopsy).