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ICD-10-PCS 2027 procedure code

0BB18ZZExcision of Trachea, Via Natural or Artificial Opening Endoscopic

✓ Valid for 2027O.R. procedure

Short description: Excision of Trachea, Endo

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 0BB18ZZ

0BB18ZZ is the ICD-10-PCS code for a excision procedure on the trachea using a via natural or artificial opening 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 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 0BB28ZZ (carina), 0BB38ZZ (right main bronchus), 0BB48ZZ (right upper lobe bronchus), 0BB58ZZ (right middle lobe bronchus), 0BB68ZZ (right lower lobe bronchus), 0BB78ZZ (left main bronchus) and 14 more.

The same procedure with a different approach is coded 0BB10ZZ (open), 0BB13ZZ (percutaneous), 0BB14ZZ (percutaneous endoscopic) and 0BB17ZZ (via natural or artificial opening).

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
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
1Trachea
5. Approach
8Via Natural or Artificial Opening Endoscopic

Entry of instrumentation through a natural or artificial external opening 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 →
  • 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 0BB18ZZ

Is 0BB18ZZ a valid ICD-10-PCS code for 2027?

Yes. 0BB18ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0BB18ZZ an O.R. procedure?

Yes. 0BB18ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0BB18ZZ group to?

Depending on the principal diagnosis, 0BB18ZZ 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 0BB18ZZ?

The CMS GEMs map 0BB18ZZ to ICD-9-CM 31.5 (Local excision or destruction of lesion or tissue of trachea).