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ICD-10-PCS 2027 procedure code

0WPC4GZRemoval of Defibrillator Lead from Mediastinum, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Defib Lead from Mediastinum, Perc Endo Approach

Code last changed in FY2024 (effective October 1, 2023). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0WPC4GZ

0WPC4GZ is the ICD-10-PCS code for a removal procedure on the mediastinum using a percutaneous endoscopic approach with defibrillator lead. In ICD-10-PCS, removal means taking out or off a device from a body part.

The same procedure with a different approach is coded 0WPC0GZ (open), 0WPC3GZ (percutaneous) and 0WPCXGZ (external).

With a different device, use 0WPC40Z (drainage device), 0WPC41Z (radioactive element), 0WPC43Z (infusion device), 0WPC47Z (autologous tissue substitute), 0WPC4JZ (synthetic substitute), 0WPC4KZ (nonautologous tissue substitute) and 1 more.

It is an operating-room procedure in the MS-DRG logic for DRG 040 (Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC), DRG 041 (Peripheral, Cranial Nerve and Other Nervous System Procedures with CC or Peripheral Neurostimulator), DRG 042 (Peripheral, Cranial Nerve and Other Nervous System Procedures without CC/MCC), DRG 265 (AICD Lead Procedures), DRG 907 (Other O.R. Procedures for Injuries with MCC) and DRG 908 (Other O.R. Procedures for Injuries with CC), under the surgical categories “Peripheral, Cranial Nerve and Other Nervous System Procedures”, “AICD Lead Procedures”, “Other O.R. Procedures for Injuries” and 1 more.

It was added in FY2024, effective October 1, 2023.

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
GDefibrillator Lead
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.

MDC 05 · Diseases and Disorders of the Circulatory System · AICD Lead Procedures

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
  • FY2024 (effective 10/1/2023): Added
  • No changes since FY2024.

Common questions about 0WPC4GZ

Is 0WPC4GZ a valid ICD-10-PCS code for 2027?

Yes. 0WPC4GZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0WPC4GZ an O.R. procedure?

Yes. 0WPC4GZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0WPC4GZ group to?

Depending on the principal diagnosis, 0WPC4GZ can group to MS-DRG 040, MS-DRG 041, MS-DRG 042, MS-DRG 265, MS-DRG 907 and MS-DRG 908.