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ICD-10-PCS 2027 procedure code

0W3L4ZZControl Bleeding in Lower Back, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Control Bleeding in Lower Back, 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 0W3L4ZZ

0W3L4ZZ is the ICD-10-PCS code for a control procedure on the lower back using a percutaneous endoscopic approach. In ICD-10-PCS, control means stopping, or attempting to stop, postprocedural or other acute bleeding.

In plain terms, this corresponds to control of hemorrhage, not otherwise specified, the ICD-9-CM procedure title it maps to (39.98).

For a different body part, codes include 0W304ZZ (head), 0W314ZZ (cranial cavity), 0W324ZZ (face), 0W334ZZ (oral cavity and throat), 0W344ZZ (upper jaw), 0W354ZZ (lower jaw) and 16 more.

The same procedure with a different approach is coded 0W3L0ZZ (open) and 0W3L3ZZ (percutaneous).

It is an operating-room procedure in the MS-DRG logic for DRG 361 (Other Circulatory System O.R. Procedures with MCC), DRG 362 (Other Circulatory System O.R. Procedures without MCC), DRG 515 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC), DRG 516 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC), DRG 517 (Other Musculoskeletal System and Connective Tissue O.R. Procedures without CC/MCC) and DRG 579 (Other Skin, Subcutaneous Tissue and Breast Procedures with MCC), under the surgical categories “Other Circulatory System O.R. Procedures”, “Other Musculoskeletal System and Connective Tissue O.R. Procedures”, “Other Skin, Subcutaneous Tissue and Breast Procedures” and 5 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
WAnatomical Regions, General
3. Operation
3Control

Stopping, or attempting to stop, postprocedural or other acute bleeding

Includes: Control of post-prostatectomy hemorrhage, control of intracranial subdural hemorrhage, control of bleeding duodenal ulcer, control of retroperitoneal hemorrhage

4. Body Part
LLower Back
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.

MDC 05 · Diseases and Disorders of the Circulatory System · Other Circulatory System O.R. Procedures

ICD-9-CM equivalent

Converter →
  • 39.98Control of hemorrhage, not otherwise specifiedapproximate

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 0W3L4ZZ

Is 0W3L4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0W3L4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0W3L4ZZ an O.R. procedure?

Yes. 0W3L4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0W3L4ZZ group to?

Depending on the principal diagnosis, 0W3L4ZZ can group to MS-DRG 361, MS-DRG 362, MS-DRG 515, MS-DRG 516, MS-DRG 517 and MS-DRG 579.

What is the ICD-9 procedure code for 0W3L4ZZ?

The CMS GEMs map 0W3L4ZZ to ICD-9-CM 39.98 (Control of hemorrhage, not otherwise specified).