ICD-10-PCS 2027 procedure code
0B5T4ZZDestruction of Diaphragm, Percutaneous Endoscopic Approach
Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data
About 0B5T4ZZ
0B5T4ZZ is the ICD-10-PCS code for a destruction procedure on the diaphragm using a percutaneous endoscopic 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 excision of lesion or tissue of diaphragm, the ICD-9-CM procedure title it maps to (34.81).
For a different body part, codes include 0B514ZZ (trachea), 0B524ZZ (carina), 0B534ZZ (right main bronchus), 0B544ZZ (right upper lobe bronchus), 0B554ZZ (right middle lobe bronchus), 0B564ZZ (right lower lobe bronchus) and 15 more.
The same procedure with a different approach is coded 0B5T0ZZ (open) and 0B5T3ZZ (percutaneous).
It is an operating-room procedure in the MS-DRG logic for DRG 163 (Major Chest Procedures with MCC), DRG 164 (Major Chest Procedures with CC), DRG 165 (Major Chest Procedures without CC/MCC), DRG 515 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC), DRG 516 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC) and DRG 517 (Other Musculoskeletal System and Connective Tissue O.R. Procedures without CC/MCC), under the surgical categories “Major Chest Procedures” and “Other Musculoskeletal System and Connective Tissue O.R. Procedures”.
It was added in FY2018, effective October 1, 2017.
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
- TDiaphragm
- 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 body part
- 0B514ZZTrachea
- 0B524ZZCarina
- 0B534ZZMain Bronchus, Right
- 0B544ZZUpper Lobe Bronchus, Right
- 0B554ZZMiddle Lobe Bronchus, Right
- 0B564ZZLower Lobe Bronchus, Right
- 0B574ZZMain Bronchus, Left
- 0B584ZZUpper Lobe Bronchus, Left
- 0B594ZZLingula Bronchus
- 0B5B4ZZLower Lobe Bronchus, Left
- 0B5C4ZZUpper Lung Lobe, Right
- 0B5D4ZZMiddle Lung Lobe, Right
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 · Major Chest Procedures
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Other Musculoskeletal System and Connective Tissue O.R. Procedures
ICD-9-CM equivalent
Converter →- 34.81Excision of lesion or tissue of diaphragmapproximate
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
- FY2018 (effective 10/1/2017): Added
- No changes since FY2018.
Common questions about 0B5T4ZZ
Is 0B5T4ZZ a valid ICD-10-PCS code for 2027?
- Yes. 0B5T4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0B5T4ZZ an O.R. procedure?
- Yes. 0B5T4ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0B5T4ZZ group to?
- Depending on the principal diagnosis, 0B5T4ZZ can group to MS-DRG 163, MS-DRG 164, MS-DRG 165, MS-DRG 515, MS-DRG 516 and MS-DRG 517.
What is the ICD-9 procedure code for 0B5T4ZZ?
- The CMS GEMs map 0B5T4ZZ to ICD-9-CM 34.81 (Excision of lesion or tissue of diaphragm).