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ICD-10-PCS 2027 procedure code

0B527ZZDestruction of Carina, Via Natural or Artificial Opening

✓ 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 0B527ZZ

0B527ZZ is the ICD-10-PCS code for a destruction procedure on the carina using a via natural or artificial opening approach. In ICD-10-PCS, destruction means physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent.

In plain terms, this corresponds to local excision or destruction of lesion or tissue of trachea, the ICD-9-CM procedure title it maps to (31.5).

For a different body part, codes include 0B517ZZ (trachea), 0B537ZZ (right main bronchus), 0B547ZZ (right upper lobe bronchus), 0B557ZZ (right middle lobe bronchus), 0B567ZZ (right lower lobe bronchus), 0B577ZZ (left main bronchus) and 12 more.

The same procedure with a different approach is coded 0B520ZZ (open), 0B523ZZ (percutaneous), 0B524ZZ (percutaneous endoscopic) and 0B528ZZ (via natural or artificial opening endoscopic).

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 166 (Other Respiratory System O.R. Procedures with MCC), DRG 167 (Other Respiratory System O.R. Procedures with CC) and DRG 168 (Other Respiratory System O.R. Procedures without CC/MCC), under the surgical categories “Other Ear, Nose, Mouth and Throat O.R. Procedures” and “Other Respiratory System O.R. Procedures”.

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
5Destruction

Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent

None of the body part is physically taken out

Includes: Fulguration of rectal polyp, cautery of skin lesion

4. Body Part
2Carina
5. Approach
7Via Natural or Artificial Opening

Entry of instrumentation through a natural or artificial external opening to reach the site of the procedure

6. Device
ZNo Device
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.

ICD-9-CM equivalent

Converter →
  • 31.5Local excision or destruction of lesion or tissue of tracheaapproximate

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 0B527ZZ

Is 0B527ZZ a valid ICD-10-PCS code for 2027?

Yes. 0B527ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0B527ZZ an O.R. procedure?

Yes. 0B527ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0B527ZZ group to?

Depending on the principal diagnosis, 0B527ZZ can group to MS-DRG 143, MS-DRG 144, MS-DRG 145, MS-DRG 166, MS-DRG 167 and MS-DRG 168.

What is the ICD-9 procedure code for 0B527ZZ?

The CMS GEMs map 0B527ZZ to ICD-9-CM 31.5 (Local excision or destruction of lesion or tissue of trachea).