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ICD-10-PCS 2027 procedure code

0B21XFZChange Tracheostomy Device in Trachea, External Approach

✓ Valid for 2027

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 0B21XFZ

0B21XFZ is the ICD-10-PCS code for a change procedure on the trachea using an external approach with tracheostomy device. In ICD-10-PCS, change means taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without cutting or puncturing the skin or a mucous membrane.

In plain terms, this corresponds to replacement of tracheostomy tube, the ICD-9-CM procedure title it maps to (97.23).

With a different device, use 0B21X0Z (drainage device), 0B21XEZ (intraluminal device, endotracheal airway) and 0B21XYZ (other device).

It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.

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
BRespiratory System
3. Operation
2Change

Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without cutting or puncturing the skin or a mucous membrane

All CHANGE procedures are coded using the approach EXTERNAL

Includes: Urinary catheter change, gastrostomy tube change

4. Body Part
1Trachea
5. Approach
XExternal

Procedures performed directly on the skin or mucous membrane and procedures performed indirectly by the application of external force through the skin or mucous membrane

6. Device
FTracheostomy Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

ICD-9-CM equivalent

Converter →
  • 97.23Replacement of tracheostomy tubeexact

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 0B21XFZ

Is 0B21XFZ a valid ICD-10-PCS code for 2027?

Yes. 0B21XFZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 0B21XFZ?

The CMS GEMs map 0B21XFZ to ICD-9-CM 97.23 (Replacement of tracheostomy tube).