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ICD-10-PCS 2027 procedure code

07B04ZZExcision of Head Lymphatic, Percutaneous Endoscopic 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 07B04ZZ

07B04ZZ is the ICD-10-PCS code for a excision procedure on the lymphatic, head using a percutaneous endoscopic 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 simple excision of other lymphatic structure and regional lymph node excision, the ICD-9-CM procedure titles it maps to (40.29 and 40.3).

For a different body part, codes include 07B14ZZ (lymphatic, right neck), 07B24ZZ (lymphatic, left neck), 07B34ZZ (lymphatic, right upper extremity), 07B44ZZ (lymphatic, left upper extremity), 07B54ZZ (lymphatic, right axillary), 07B64ZZ (lymphatic, left axillary) and 14 more.

The same procedure with a different approach is coded 07B00ZZ (open) and 07B03ZZ (percutaneous).

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 579 (Other Skin, Subcutaneous Tissue and Breast Procedures with MCC), DRG 580 (Other Skin, Subcutaneous Tissue and Breast Procedures with CC) and DRG 581 (Other Skin, Subcutaneous Tissue and Breast Procedures without CC/MCC), under the surgical categories “Other Ear, Nose, Mouth and Throat O.R. Procedures”, “Other Skin, Subcutaneous Tissue and Breast Procedures”, “Other O.R. Procedures of the Blood and Blood Forming Organs” 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
7Lymphatic and Hemic Systems
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
0Lymphatic, Head

Includes: Buccinator lymph node; Infraauricular lymph node; Infraparotid lymph node; Parotid lymph node; Preauricular lymph node; Submandibular lymph node; Submaxillary lymph node; Submental lymph node; Subparotid lymph node; Suprahyoid lymph node

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
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 →
  • 40.29Simple excision of other lymphatic structureapproximate
  • 40.3Regional lymph node excisionapproximate

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 07B04ZZ

Is 07B04ZZ a valid ICD-10-PCS code for 2027?

Yes. 07B04ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 07B04ZZ an O.R. procedure?

Yes. 07B04ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 07B04ZZ group to?

Depending on the principal diagnosis, 07B04ZZ can group to MS-DRG 143, MS-DRG 144, MS-DRG 145, MS-DRG 579, MS-DRG 580 and MS-DRG 581.

What is the ICD-9 procedure code for 07B04ZZ?

The CMS GEMs map 07B04ZZ to ICD-9-CM 40.29 (Simple excision of other lymphatic structure) and 40.3 (Regional lymph node excision).