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ICD-10-PCS 2027 procedure code

0C5R4ZZDestruction of Epiglottis, Percutaneous Endoscopic Approach

✓ 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 0C5R4ZZ

0C5R4ZZ is the ICD-10-PCS code for a destruction procedure on the epiglottis 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 Epiglottidectomy, the ICD-9-CM procedure title it maps to (30.21).

For a different body part, codes include 0C5M4ZZ (pharynx), 0C5S4ZZ (larynx), 0C5T4ZZ (right vocal cord) and 0C5V4ZZ (left vocal cord).

The same procedure with a different approach is coded 0C5R0ZZ (open), 0C5R3ZZ (percutaneous), 0C5R7ZZ (via natural or artificial opening) and 0C5R8ZZ (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”, “Other Respiratory System O.R. Procedures”, “Other O.R. Procedures for Injuries” and 1 more.

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
CMouth and Throat
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
REpiglottis

Includes: Glossoepiglottic fold

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

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 →
  • 30.21Epiglottidectomyapproximate

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 0C5R4ZZ

Is 0C5R4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0C5R4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0C5R4ZZ an O.R. procedure?

Yes. 0C5R4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0C5R4ZZ group to?

Depending on the principal diagnosis, 0C5R4ZZ 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 0C5R4ZZ?

The CMS GEMs map 0C5R4ZZ to ICD-9-CM 30.21 (Epiglottidectomy).