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ICD-10-PCS 2027 procedure code

0N9000ZDrainage of Skull with Drainage Device, Open 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 0N9000Z

0N9000Z is the ICD-10-PCS code for a drainage procedure on the skull using an open approach with drainage device. In ICD-10-PCS, drainage means taking or letting out fluids and/or gases from a body part.

In plain terms, this corresponds to incision and drainage of cranial sinus, the ICD-9-CM procedure title it maps to (01.21).

For a different body part, codes include 0N9100Z (frontal bone), 0N9300Z (right parietal bone), 0N9400Z (left parietal bone), 0N9500Z (right temporal bone), 0N9600Z (left temporal bone), 0N9700Z (occipital bone) and 16 more.

The same procedure with a different approach is coded 0N9030Z (percutaneous) and 0N9040Z (percutaneous endoscopic).

With a different device, use 0N900ZZ (no device).

It is an operating-room procedure in the MS-DRG logic for DRG 023 (Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Antineoplastic Implant or Epilepsy with Neurostimulator), DRG 024 (Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCC), DRG 025 (Craniotomy and Endovascular Intracranial Procedures with MCC), DRG 026 (Craniotomy and Endovascular Intracranial Procedures with CC), DRG 027 (Craniotomy and Endovascular Intracranial Procedures without CC/MCC) and DRG 955 (Craniotomy for Multiple Significant Trauma), under the surgical categories “Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis”, “Craniotomy and endovascular intracranial procedures” and “Craniotomy for Multiple Significant Trauma”.

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
NHead and Facial Bones
3. Operation
9Drainage

Taking or letting out fluids and/or gases from a body part

The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies

Includes: Thoracentesis, incision and drainage

4. Body Part
0Skull
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
0Drainage Device

Includes: Cystostomy tube; Foley catheter; Percutaneous nephrostomy catheter; Thoracostomy tube

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 →
  • 01.21Incision and drainage of cranial sinusapproximate

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 0N9000Z

Is 0N9000Z a valid ICD-10-PCS code for 2027?

Yes. 0N9000Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0N9000Z an O.R. procedure?

Yes. 0N9000Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0N9000Z group to?

Depending on the principal diagnosis, 0N9000Z can group to MS-DRG 023, MS-DRG 024, MS-DRG 025, MS-DRG 026, MS-DRG 027 and MS-DRG 955.

What is the ICD-9 procedure code for 0N9000Z?

The CMS GEMs map 0N9000Z to ICD-9-CM 01.21 (Incision and drainage of cranial sinus).