ICD-10-PCS 2027 procedure code
0WPC47ZRemoval of Autologous Tissue Substitute from Mediastinum, Percutaneous Endoscopic Approach
Short description: Removal of Autol Sub from Mediastinum, 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 0WPC47Z
0WPC47Z is the ICD-10-PCS code for a removal procedure on the mediastinum using a percutaneous endoscopic approach with autologous tissue substitute. In ICD-10-PCS, removal means taking out or off a device 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 0WP047Z (head), 0WP247Z (face), 0WP447Z (upper jaw), 0WP547Z (lower jaw), 0WP647Z (neck), 0WP847Z (chest wall) and 5 more.
The same procedure with a different approach is coded 0WPC07Z (open), 0WPC37Z (percutaneous) and 0WPCX7Z (external).
With a different device, use 0WPC40Z (drainage device), 0WPC41Z (radioactive element), 0WPC43Z (infusion device), 0WPC4GZ (defibrillator lead), 0WPC4JZ (synthetic substitute), 0WPC4KZ (nonautologous tissue substitute) and 1 more.
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
- PRemoval
Taking out or off a device from a body part
If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL
Includes: Drainage tube removal, cardiac pacemaker removal
- 4. Body Part
- CMediastinum
Includes: Mediastinal cavity; Mediastinal space
- 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
- 7Autologous Tissue Substitute
Includes: Autograft; Cultured epidermal cell autograft; Epicel(R) cultured epidermal autograft
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
Different approach
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 0WPC47Z
Is 0WPC47Z a valid ICD-10-PCS code for 2027?
- Yes. 0WPC47Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0WPC47Z an O.R. procedure?
- Yes. 0WPC47Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0WPC47Z group to?
- Depending on the principal diagnosis, 0WPC47Z 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 0WPC47Z?
- The CMS GEMs map 0WPC47Z to ICD-9-CM 34.1 (Incision of mediastinum).