0BBG4ZXExcision of Left Upper Lung Lobe, Percutaneous Endoscopic Approach, Diagnostic

Medical and Surgical›Respiratory System›Excision
  • Billable / Specific Code
ICD-10-PCS 0BBG4ZX
CMS Source: FY 2027 ICD-10-PCS dataset. Effective Oct 1, 2026 – Sep 30, 2027.FacebookXLinkedInPrint

0BBG4ZX is a billable ICD-10-PCS procedure code for Excision of Left Upper Lung Lobe, Percutaneous Endoscopic Approach, Diagnostic. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to 11 MS-DRGs. The root operation Excision involves cutting out or off, without replacement, a portion of a body part. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Lung, pleura, or diaphragm biopsy (non-endoscopic).

Code Identity

ICD-10-PCS Code
0BBG4ZX
Billable Status
Yes — Valid for Submission
Code Describes
Excision of Left Upper Lung Lobe, Percutaneous Endoscopic Approach, Diagnostic
Short Description
Excision of Left Upper Lung Lobe, Perc Endo Approach, Diagn
Parent Code
0BB

PCS Table Breakdown

Each ICD-10-PCS code is built from seven characters, each an axis of the procedure. Hover or tap the icons for the official CMS definitions.

PositionDesignationValueMeaning
1Section0Medical and Surgical
2Body SystemBRespiratory System
3OperationBExcision
4BodyPartGUpper Lung Lobe, Left
5Approach4Percutaneous Endoscopic
6DeviceZNo Device
7QualifierXDiagnostic

In the ICD-10-PCS Alphabetic Index

These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:

Biopsy
Anatomy or device term that leads here
Pleurectomy
Leads to this code's table
Pneumectomy
Leads to this code's table
Punch biopsy
Anatomy or device term that leads here
Core needle biopsy
Anatomy or device term that leads here
Wedge resection, pulmonary
Leads to this code's table
Excision, Lung, Upper Lobe, Left
Leads to this code's table

To code wedge resection of the pulmonary, open the FY 2027 ICD-10-PCS Alphabetic Index at Wedge resection, then the subterm pulmonary. The index leads to table 0BB, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 0BBG4ZX.

Browse the full ICD-10-PCS Alphabetic Index →

Clinical Classification (CCSR)

AHRQ groups this procedure code into these clinical categories.

RES002
Lung, pleura, or diaphragm biopsy (non-endoscopic)
Clinical domain: Respiratory System Procedures

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for this code under the General Equivalence Mappings.

33.20
Thoracoscopic lung biopsy
Approximate match.

Code History

Replaced in the FY 2027 code set by:
  • 0BDG4ZX — Extraction of L Up Lung Lobe, Perc Endo Approach, Diagn

Similar Procedure Codes

Questions About 0BBG4ZX

Is 0BBG4ZX a billable code?

Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Excision of Left Upper Lung Lobe, Percutaneous Endoscopic Approach, Diagnostic on inpatient claims from October 1, 2026 through September 30, 2027.

What do the characters in 0BBG4ZX mean?

The code breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character B is the Body System (Respiratory System); the 3rd character B is the Operation (Excision); the 4th character G is the BodyPart (Upper Lung Lobe, Left); the 5th character 4 is the Approach (Percutaneous Endoscopic); the 6th character Z is the Device (No Device); the 7th character X is the Qualifier (Diagnostic).

What MS-DRG does 0BBG4ZX group to?

On an inpatient stay, Excision of Left Upper Lung Lobe, Percutaneous Endoscopic Approach, Diagnostic maps to MS-DRGs 166, 167, 168, 361, 362, 515, 516, 517, 673, 674, 675, with relative weights from 1.3890 to 4.2523. The MS-DRG sets the fixed Medicare payment for the stay.

What is the ICD-9-PCS equivalent of 0BBG4ZX?

Under the General Equivalence Mappings, Excision of Left Upper Lung Lobe, Percutaneous Endoscopic Approach, Diagnostic crosswalks to ICD-9-PCS 33.20 (Thoracoscopic lung biopsy). The mapping is approximate, so confirm it fits the documentation.