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ICD-10-PCS 2027 procedure code

0GB40ZXExcision of Bilateral Adrenal Glands, Open Approach, Diagnostic

✓ Valid for 2027O.R. procedure

Short description: Excision of Bilateral Adrenal Glands, Open Approach, Diagn

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 0GB40ZX

0GB40ZX is the ICD-10-PCS code for a excision procedure on the bilateral adrenal glands using an open approach (qualifier: diagnostic). In ICD-10-PCS, excision means cutting out or off, without replacement, a portion of a body part.

In plain terms, this corresponds to open biopsy of adrenal gland, the ICD-9-CM procedure title it maps to (07.12).

For a different body part, codes include 0GB00ZX (pituitary gland), 0GB10ZX (pineal body), 0GB20ZX (left adrenal gland), 0GB30ZX (right adrenal gland), 0GB60ZX (left carotid body), 0GB70ZX (right carotid body) and 15 more.

The same procedure with a different approach is coded 0GB43ZX (percutaneous) and 0GB44ZX (percutaneous endoscopic).

It is an operating-room procedure in the MS-DRG logic for DRG 614 (Adrenal and Pituitary Procedures with CC/MCC) and DRG 615 (Adrenal and Pituitary Procedures without CC/MCC), under the surgical category “Adrenal and Pituitary 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
GEndocrine 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
4Adrenal Glands, Bilateral
5. Approach
0Open

Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

6. Device
ZNo Device
7. Qualifier
XDiagnostic

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.

MDC 10 · Endocrine, Nutritional and Metabolic Diseases and Disorders · Adrenal and Pituitary Procedures

ICD-9-CM equivalent

Converter →
  • 07.12Open biopsy of adrenal glandapproximate

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 0GB40ZX

Is 0GB40ZX a valid ICD-10-PCS code for 2027?

Yes. 0GB40ZX is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0GB40ZX an O.R. procedure?

Yes. 0GB40ZX is an O.R. procedure in MS-DRG v44.0.

What DRG does 0GB40ZX group to?

Depending on the principal diagnosis, 0GB40ZX can group to MS-DRG 614 and MS-DRG 615.

What is the ICD-9 procedure code for 0GB40ZX?

The CMS GEMs map 0GB40ZX to ICD-9-CM 07.12 (Open biopsy of adrenal gland).