X27W39BDilation of Thoracic Aorta, Descending with Expandable Intraluminal Device, Percutaneous Approach, New Technology Group 11
- Billable / Specific Code
X27W39B is a billable ICD-10-PCS procedure code for Dilation of Thoracic Aorta, Descending with Expandable Intraluminal Device, Percutaneous Approach, New Technology Group 11. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRGs 252, 253, 254. The root operation Dilation involves expanding an orifice or the lumen of a tubular body part. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Angioplasty and related vessel procedures (endovascular; excluding carotid).
Code Identity
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.
| Position | Designation | Value | Meaning |
|---|---|---|---|
| 1 | Section | X | New Technology |
| 2 | Body System | 2 | Cardiovascular System |
| 3 | Operation | 7 | Dilation |
| 4 | BodyPart | W | Thoracic Aorta, Descending |
| 5 | Approach | 3 | Percutaneous |
| 6 | Device/Substance/Technology | 9 | Intraluminal Device, Expandable |
| 7 | Qualifier | B | New Technology Group 11 |
In the ICD-10-PCS Alphabetic Index
These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:
Clinical Classification (CCSR)
AHRQ groups this procedure code into these clinical categories.
Code History
- 027W3DZ — Dilation of Thor Aorta Desc with Intralum Dev, Perc Approach
Questions About X27W39B
Is X27W39B a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Dilation of Thoracic Aorta, Descending with Expandable Intraluminal Device, Percutaneous Approach, New Technology Group 11 on inpatient claims from October 1, 2026 through September 30, 2027.
What do the characters in X27W39B mean?
The code breaks down character by character: the 1st character X is the Section (New Technology); the 2nd character 2 is the Body System (Cardiovascular System); the 3rd character 7 is the Operation (Dilation); the 4th character W is the BodyPart (Thoracic Aorta, Descending); the 5th character 3 is the Approach (Percutaneous); the 6th character 9 is the Device/Substance/Technology (Intraluminal Device, Expandable); the 7th character B is the Qualifier (New Technology Group 11).
What MS-DRG does X27W39B group to?
On an inpatient stay, Dilation of Thoracic Aorta, Descending with Expandable Intraluminal Device, Percutaneous Approach, New Technology Group 11 maps to MS-DRGs 252, 253, 254, with relative weights from 1.7961 to 3.4822. The MS-DRG sets the fixed Medicare payment for the stay.