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ICD-10-PCS 2027 procedure code

0BPT4JZRemoval of Synthetic Substitute from Diaphragm, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Synth Sub from Diaphragm, Perc Endo Approach

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 0BPT4JZ

0BPT4JZ is the ICD-10-PCS code for a removal procedure on the diaphragm using a percutaneous endoscopic approach with synthetic substitute. In ICD-10-PCS, removal means taking out or off a device from a body part.

In plain terms, this corresponds to other operations on diaphragm, the ICD-9-CM procedure title it maps to (34.89).

For a different body part, codes include 0BP04JZ (tracheobronchial tree) and 0BP14JZ (trachea).

The same procedure with a different approach is coded 0BPT0JZ (open), 0BPT3JZ (percutaneous), 0BPT7JZ (via natural or artificial opening) and 0BPT8JZ (via natural or artificial opening endoscopic).

With a different device, use 0BPT40Z (drainage device), 0BPT42Z (monitoring device), 0BPT47Z (autologous tissue substitute), 0BPT4KZ (nonautologous tissue substitute), 0BPT4MZ (diaphragmatic pacemaker lead) and 0BPT4YZ (other device).

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) and DRG 165 (Major Chest Procedures without CC/MCC), under the surgical category “Major Chest 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
PRemoval

Taking out or off a device from a body part

If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL

Includes: Drainage tube removal, cardiac pacemaker removal

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
JSynthetic Substitute

Includes: AbioCor(R) Total Replacement Heart; AMPLATZER(R) Muscular VSD Occluder; Annuloplasty ring; Bard(R) Composix(R) (E/X)(LP) mesh; Bard(R) Composix(R) Kugel(R) patch; Bard(R) Dulex(tm) mesh; Bard(R) Ventralex(tm) hernia patch; Barricaid(R) Annular Closure Device (ACD); BRYAN(R) Cervical Disc System; Corvia IASD(R); Ex-PRESS(tm) mini glaucoma shunt; Flexible Composite Mesh; GORE(R) ACUSEAL Vascular Graft; GORE(R) CARDIOFORM Septal Occluder; GORE(R) DUALMESH(R); GORE(R) PROPATEN(R) Vascular Graft; GORE(R) VIATORR(R) TIPS Endoprosthesis; Holter valve ventricular shunt; IASD(R) (InterAtrial Shunt Device), Corvia; InterAtrial Shunt Device IASD(R), Corvia; LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System; MitraClip valve repair system; Nitinol framed polymer mesh; Open Pivot (mechanical) valve; Open Pivot Aortic Valve Graft (AVG); Partially absorbable mesh; PHYSIOMESH(tm) Flexible Composite Mesh; Polymethylmethacrylate (PMMA); Polypropylene mesh; PRESTIGE(R) Cervical Disc; PROCEED(tm) Ventral Patch; Prodisc-C; Prodisc-L; PROLENE Polypropylene Hernia System (PHS); Rebound HRD(R) (Hernia Repair Device); SynCardia Total Artificial Heart; Total artificial (replacement) heart; ULTRAPRO Hernia System (UHS); ULTRAPRO Partially Absorbable Lightweight Mesh; ULTRAPRO Plug; V-Wave Interatrial Shunt System; Ventrio(tm) Hernia Patch; Zimmer(R) NexGen(R) LPS Mobile Bearing Knee; Zimmer(R) NexGen(R) LPS-Flex Mobile Knee

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 →
  • 34.89Other operations on diaphragmapproximate

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 0BPT4JZ

Is 0BPT4JZ a valid ICD-10-PCS code for 2027?

Yes. 0BPT4JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0BPT4JZ an O.R. procedure?

Yes. 0BPT4JZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0BPT4JZ group to?

Depending on the principal diagnosis, 0BPT4JZ can group to MS-DRG 163, MS-DRG 164 and MS-DRG 165.

What is the ICD-9 procedure code for 0BPT4JZ?

The CMS GEMs map 0BPT4JZ to ICD-9-CM 34.89 (Other operations on diaphragm).