ICD-10-PCS Annual Update · FY 2027 40 Codes

Deleted FY 2027 ICD-10-PCS Procedure Codes ICD-10-PCS

The FY 2027 ICD-10-PCS update deletes 40 procedure codes, effective October 1, 2026. New Technology leads with 38 of them. Every deleted code is listed below by section, with a filter to find the ones that matter to you.

✓ Built from the official CMS FY 2027 release filesEffective October 1, 2026 – September 30, 2027

Deleted Codes

Sections Affected

In New Technology

79,256

Total FY 2027 Codes

Deleted ICD-10-PCS codes by section, FY 2027

Sections with no deleted codes in this release are omitted. Counts from the official FY 2027 release files.

No deleted codes match your filter. Try a shorter keyword, or search the full code set with the ICD-10-PCS lookup tool.

Section 3: Administration 2 deleted

Code	Description
30233AZ	Transfusion of Embryonic Stem Cells into Peripheral Vein, Percutaneous Approach
30243AZ	Transfusion of Embryonic Stem Cells into Central Vein, Percutaneous Approach

Section X: New Technology 38 deleted

Code	Description
X2KB317	Bypass Right Radial Artery using Thermal Resistance Energy, Percutaneous Approach, New Technology Group 7
X2KC317	Bypass Left Radial Artery using Thermal Resistance Energy, Percutaneous Approach, New Technology Group 7
XD2G4V7	Monitoring of Upper GI Oxygen Saturation, Percutaneous Endoscopic Approach, New Technology Group 7
XD2G8V7	Monitoring of Upper GI Oxygen Saturation, Via Natural or Artificial Opening Endoscopic, New Technology Group 7
XD2H4V7	Monitoring of Lower GI Oxygen Saturation, Percutaneous Endoscopic Approach, New Technology Group 7
XD2H8V7	Monitoring of Lower GI Oxygen Saturation, Via Natural or Artificial Opening Endoscopic, New Technology Group 7
XRGA0R7	Fusion of Thoracolumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7
XRGA3R7	Fusion of Thoracolumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 7
XRGA4R7	Fusion of Thoracolumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7
XRGB0R7	Fusion of Lumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7
XRGB3R7	Fusion of Lumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 7
XRGB4R7	Fusion of Lumbar Vertebral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7
XRGC0R7	Fusion of 2 or more Lumbar Vertebral Joints using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7
XRGC3R7	Fusion of 2 or more Lumbar Vertebral Joints using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 7
XRGC4R7	Fusion of 2 or more Lumbar Vertebral Joints using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7
XRGD0R7	Fusion of Lumbosacral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Open Approach, New Technology Group 7
XRGD3R7	Fusion of Lumbosacral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Approach, New Technology Group 7
XRGD4R7	Fusion of Lumbosacral Joint using Custom-Made Anatomically Designed Interbody Fusion Device, Percutaneous Endoscopic Approach, New Technology Group 7
XW00X27	Introduction of Anacaulase-bcdb into Skin, External Approach, New Technology Group 7
XW01397	Introduction of Satralizumab-mwge into Subcutaneous Tissue, Percutaneous Approach, New Technology Group 7
XW01X27	Introduction of Anacaulase-bcdb into Subcutaneous Tissue, External Approach, New Technology Group 7
XW023X7	Introduction of Tixagevimab and Cilgavimab Monoclonal Antibody into Muscle, Percutaneous Approach, New Technology Group 7
XW03367	Introduction of Terlipressin into Peripheral Vein, Percutaneous Approach, New Technology Group 7
XW03377	Introduction of Trilaciclib into Peripheral Vein, Percutaneous Approach, New Technology Group 7
XW03387	Introduction of Lurbinectedin into Peripheral Vein, Percutaneous Approach, New Technology Group 7
XW033B7	Introduction of Amivantamab Monoclonal Antibody into Peripheral Vein, Percutaneous Approach, New Technology Group 7
XW04367	Introduction of Terlipressin into Central Vein, Percutaneous Approach, New Technology Group 7
XW04377	Introduction of Trilaciclib into Central Vein, Percutaneous Approach, New Technology Group 7
XW04387	Introduction of Lurbinectedin into Central Vein, Percutaneous Approach, New Technology Group 7
XW043B7	Introduction of Amivantamab Monoclonal Antibody into Central Vein, Percutaneous Approach, New Technology Group 7
XW0DXR7	Introduction of Fostamatinib into Mouth and Pharynx, External Approach, New Technology Group 7
XW0G7R7	Introduction of Fostamatinib into Upper GI, Via Natural or Artificial Opening, New Technology Group 7
XW0H7R7	Introduction of Fostamatinib into Lower GI, Via Natural or Artificial Opening, New Technology Group 7
XW133D7	Transfusion of High-Dose Intravenous Immune Globulin into Peripheral Vein, Percutaneous Approach, New Technology Group 7
XW133F8	Transfusion of OTL-103 into Peripheral Vein, Percutaneous Approach, New Technology Group 8
XW143D7	Transfusion of High-Dose Intravenous Immune Globulin into Central Vein, Percutaneous Approach, New Technology Group 7
XXE5XR7	Measurement of Infection, Mechanical Initial Specimen Diversion Technique Using Active Negative Pressure, New Technology Group 7
XXE5XT7	Measurement of Intracranial Arterial Flow, Whole Blood mRNA, New Technology Group 7

FY 2027 Deleted Codes FAQ

How many ICD-10-PCS codes were deleted for FY 2027?

The FY 2027 release deletes 40 procedure codes across 2 sections. Deletions are routine code set maintenance, often retiring New Technology codes whose procedures moved into the standard sections.

Can I still report a deleted procedure code?

Only for hospital discharges before October 1, 2026. From that date forward, claims using a deleted code will be rejected, so facility charge masters and encoder shortcuts need to be remapped to the replacement codes.

When do the FY 2027 codes take effect?

The FY 2027 procedure code set applies to hospital discharges from October 1, 2026 to September 30, 2027. ICD-10-PCS follows the federal fiscal year, with the update taking effect on October 1.

Related References

FY 2027 ICD-10-PCS Updates Overview New ICD-10-PCS Codes Revised ICD-10-PCS Codes ICD-10-PCS Codes List ICD-10-PCS Code Lookup

Source: official FY 2027 ICD-10-PCS release files published by the Centers for Medicare & Medicaid Services (CMS), effective October 1, 2026 – September 30, 2027.