ICD-10-PCS Annual Update · FY 2027 181 Codes
New FY 2027 ICD-10-PCS Procedure Codes ICD-10-PCS
The FY 2027 ICD-10-PCS update adds 181 procedure codes, effective October 1, 2026. Medical and Surgical leads with 74 of them. Every new 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
181
New Codes
7
Sections Affected
74
In Medical and Surgical
79,256
Total FY 2027 Codes
New ICD-10-PCS codes by section, FY 2027
Sections with no new codes in this release are omitted. Counts from the official FY 2027 release files.
No new codes match your filter. Try a shorter keyword, or search the full code set with the ICD-10-PCS lookup tool.
Section 3: Administration 6 new
| Code | Description |
|---|---|
| 30233S5 | Transfuse Hi-Dose Imm Globlin in Periph Vein, Perc |
| 30243S5 | Transfuse Hi-Dose Imm Globlin in Central Vein, Perc |
| 3E00XGF | Introduce Oth Enzym/Chem Agt in Skin/Mucous Mem, Extern |
| 3E01XGF | Introduce of Oth Enzym/Chem Agt into Subcu, Extern Approach |
| 3E033AZ | Introduce of Embr Stem Cell into Periph Vein, Perc Approach |
| 3E043AZ | Introduce of Embr Stem Cell into Central Vein, Perc Approach |
Section 5: Extracorporeal or Systemic Assistance and Performance 5 new
| Code | Description |
|---|---|
| 5A0221E | Assist w Cardiac Output w Blood Flow Modulator, Continuous |
| 5A0527D | Assist w Circ Decompression w Impeller Pump, Continuous |
| 5A1D701 | Perform Urinary Filtration, <6 hrs/day, Selctv Cytophersis |
| 5A1D801 | Perform Urinary Filtration, 6-18 hrs/day, Selctv Cytophersis |
| 5A1D901 | Perform Urinary Filtration, >18 hrs/day, Selctv Cytophersis |
Section B: Imaging 4 new
Section 4: Measurement and Monitoring 1 new
| Code | Description |
|---|---|
| 4A0FXEJ | Measure MS Body Compsitn, Air Displc Plethysmgrph, Extern |
Section 0: Medical and Surgical 74 new
| Code | Description |
|---|---|
| 028F3Z0 | Division of Aortic Valve, Perc Approach, Native Leaflet |
| 028F3Z1 | Division of Aortic Valve, Perc Approach, Prosthetic Leaflet |
| 028G3Z0 | Division of Mitral Valve, Perc Approach, Native Leaflet |
| 028G3Z1 | Division of Mitral Valve, Perc Approach, Prosthetic Leaflet |
| 02HM3JZ | Insertion of Pace Lead into Ventricular Sept, Perc Approach |
| 02HM3KZ | Insertion of Defib Lead into Ventricular Sept, Perc Approach |
| 02HM3MZ | Insert of Cardiac Lead into Ventricular Sept, Perc Approach |
| 02HM3NZ | Insert Intracard Pacer in Ventricular Sept, Perc |
| 02HM3YZ | Insertion of Oth Dev into Ventricular Sept, Perc Approach |
| 0DDU0ZZ | Extraction of Omentum, Open Approach |
| 0DDU4ZZ | Extraction of Omentum, Percutaneous Endoscopic Approach |
| 0DDV0ZZ | Extraction of Mesentery, Open Approach |
| 0DDV4ZZ | Extraction of Mesentery, Percutaneous Endoscopic Approach |
| 0F9480D | Drainage of Gallbladder with Drain Dev, Endo, Transmural |
| 0F9480E | Drainage of Gallbladder with Drain Dev, Endo, Transpapillary |
| 0F9580D | Drainage of R Hepatic Duct with Drain Dev, Endo, Transmural |
| 0F9580E | Drain of R Hepatic Duct with Drain Dev, Endo, Transpapillary |
| 0F9680D | Drainage of L Hepatic Duct with Drain Dev, Endo, Transmural |
| 0F9680E | Drain of L Hepatic Duct with Drain Dev, Endo, Transpapillary |
| 0F9780D | Drainage of Com Hepat Duct with Drain Dev, Endo, Transmural |
| 0F9780E | Drain of Com Hepat Duct with Drain Dev, Endo, Transpapillary |
| 0F9880D | Drainage of Cystic Duct with Drain Dev, Endo, Transmural |
| 0F9880E | Drainage of Cystic Duct with Drain Dev, Endo, Transpapillary |
| 0F9980D | Drainage of Com Bile Duct with Drain Dev, Endo, Transmural |
| 0F9980E | Drain of Com Bile Duct with Drain Dev, Endo, Transpapillary |
| 0F9C80D | Drainage of Ampulla Vater with Drain Dev, Endo, Transmural |
| 0F9C80E | Drain of Ampulla Vater with Drain Dev, Endo, Transpapillary |
| 0F9D80D | Drainage of Pancreatic Duct with Drain Dev, Endo, Transmural |
| 0F9D80E | Drain of Pancreat Duct with Drain Dev, Endo, Transpapillary |
| 0F9F80D | Drain of Access Pancr Duct with Drain Dev, Endo, Transmural |
| 0F9F80E | Drain Access Pancr Duct w Drain Dev, Endo, Transpapillary |
| 0F9G80D | Drainage of Pancreas with Drainage Device, Endo, Transmural |
| 0F9G80E | Drainage of Pancreas with Drain Dev, Endo, Transpapillary |
| 0RGA0E0 | Fusion T-lum Jt w IFD Cust Dsin, Ant Appr A Col, Open |
| 0RGA0EJ | Fusion T-lum Jt w IFD Cust Dsin, Post Appr A Col, Open |
| 0RGA3E0 | Fusion T-lum Jt w IFD Cust Dsin, Ant Appr A Col, Perc |
| 0RGA3EJ | Fusion T-lum Jt w IFD Cust Dsin, Post Appr A Col, Perc |
| 0RGA4E0 | Fusion T-lum Jt w IFD Cust Dsin, Ant Appr A Col, Perc Endo |
| 0RGA4EJ | Fusion T-lum Jt w IFD Cust Dsin, Post Appr A Col, Perc Endo |
| 0SG00E0 | Fusion Lum Jt w IFD Cust Dsin, Ant Appr A Col, Open |
| 0SG00EJ | Fusion Lum Jt w IFD Cust Dsin, Post Appr A Col, Open |
| 0SG03E0 | Fusion Lum Jt w IFD Cust Dsin, Ant Appr A Col, Perc |
| 0SG03EJ | Fusion Lum Jt w IFD Cust Dsin, Post Appr A Col, Perc |
| 0SG04E0 | Fusion Lum Jt w IFD Cust Dsin, Ant Appr A Col, Perc Endo |
| 0SG04EJ | Fusion Lum Jt w IFD Cust Dsin, Post Appr A Col, Perc Endo |
| 0SG10E0 | Fusion 2-4 L Jt w IFD Cust Dsin, Ant Appr A Col, Open |
| 0SG10EJ | Fusion 2-4 L Jt w IFD Cust Dsin, Post Appr A Col, Open |
| 0SG13E0 | Fusion 2-4 L Jt w IFD Cust Dsin, Ant Appr A Col, Perc |
| 0SG13EJ | Fusion 2-4 L Jt w IFD Cust Dsin, Post Appr A Col, Perc |
| 0SG14E0 | Fusion 2-4 L Jt w IFD Cust Dsin, Ant Appr A Col, Perc Endo |
| 0SG14EJ | Fusion 2-4 L Jt w IFD Cust Dsin, Post Appr A Col, Perc Endo |
| 0SG30E0 | Fusion Lumsac Jt w IFD Cust Dsin, Ant Appr A Col, Open |
| 0SG30EJ | Fusion Lumsac Jt w IFD Cust Dsin, Post Appr A Col, Open |
| 0SG33E0 | Fusion Lumsac Jt w IFD Cust Dsin, Ant Appr A Col, Perc |
| 0SG33EJ | Fusion Lumsac Jt w IFD Cust Dsin, Post Appr A Col, Perc |
| 0SG34E0 | Fusion Lumsac Jt w IFD Cust Dsin, Ant Appr A Col, Perc Endo |
| 0SG34EJ | Fusion Lumsac Jt w IFD Cust Dsin, Post Appr A Col, Perc Endo |
| 0TXB0Z6 | Transfer Bladder to Right Ureter, Open Approach |
| 0TXB0Z7 | Transfer Bladder to Left Ureter, Open Approach |
| 0TXB4Z6 | Transfer Bladder to Right Ureter, Perc Endo Approach |
| 0TXB4Z7 | Transfer Bladder to Left Ureter, Perc Endo Approach |
| 0VT00ZE | Resection of Prostate, Open Approach, Capsule Intact |
| 0VT04ZE | Resection of Prostate, Perc Endo Approach, Capsule Intact |
| 0VT07ZE | Resection of Prostate, Via Opening, Capsule Intact |
| 0VT08ZE | Resection of Prostate, Endo, Capsule Intact |
| 0W99003 | Drain R Pleural Cav w Drain Dev, Activ Mech Clrnc, Open |
| 0W99303 | Drain R Pleural Cav w Drain Dev, Activ Mech Clrnc, Perc |
| 0W99403 | Drain R Pleural Cav w Drain Dev, Activ Mech Clrnc, Perc Endo |
| 0W9B003 | Drain L Pleural Cav w Drain Dev, Activ Mech Clrnc, Open |
| 0W9B303 | Drain L Pleural Cav w Drain Dev, Activ Mech Clrnc, Perc |
| 0W9B403 | Drain L Pleural Cav w Drain Dev, Activ Mech Clrnc, Perc Endo |
| 0W9C003 | Drain Mediastinum w Drain Dev, Activ Mech Clrnc, Open |
| 0W9C303 | Drain Mediastinum w Drain Dev, Activ Mech Clrnc, Perc |
| 0W9C403 | Drain Mediastinum w Drain Dev, Activ Mech Clrnc, Perc Endo |
Section X: New Technology 68 new
| Code | Description |
|---|---|
| X0HQ05C | Insert Leadlss Neurostim Gen in Vagus Nrv, Open, New Tech 12 |
| X2723CB | Dilate IVC n Confl w Opn Polmr Lattc, Perc, New Tech 11 |
| X27P3NC | Dilate R Ant Tib Art w Sm-diam Intlm Dev, Perc, New Tech 12 |
| X27Q3NC | Dilate L Ant Tib Art w Sm-diam Intlm Dev, Perc, New Tech 12 |
| X27R3NC | Dilate R Post Tib Art w Sm-diam Intlm Dev, Perc, New Tech 12 |
| X27S3NC | Dilate L Post Tib Art w Sm-diam Intlm Dev, Perc, New Tech 12 |
| X27T3NC | Dilate R Peroneal Art w Sm-diam Intlm Dev, Perc, New Tech 12 |
| X27U3NC | Dilate L Peroneal Art w Sm-diam Intlm Dev, Perc, New Tech 12 |
| X28M3DC | Division Ventr Sep w Transcath Septl Scor, Perc, New Tech 12 |
| X2H43MC | Insert Temp Vn Decompr Pump in L Innom Vn, Perc, New Tech 12 |
| X2HM3GB | Insert Defb Ld Lmnls Sm-diam in Ventr Sep, Perc, New Tech 11 |
| X2HV3GB | Insert Defb Ld Lmnls Sm-diam in R Ventrc, Perc, New Tech 11 |
| X2K00FB | Bypass IVC w Aut Cel Seed Resrb Scafld, Open, New Tech 11 |
| X2KG0FB | Bypass Hep Vn w Aut Cel Seed Resrb Scafld, Open, New Tech 11 |
| X2RF3LC | Replace Aort Vlv w Zoopl Natv Leafl Clip , Perc, New Tech 12 |
| X2RG3FC | Replace Mitr Vlv w Bio Valv Expand w Dock, Perc, New Tech 12 |
| X2RH0GC | Replace Pulm Vlv w Size Adjstbl Synth Sub, Open, New Tech 12 |
| X2VJ3HC | Restrict Aort Asc n Arch w Brch Sys Innom, Perc, New Tech 12 |
| X2VW3JC | Restrict Thor Aort w Branchd Sys Extensn, Perc, New Tech 12 |
| X2VX0KC | Restrict Aort Arch w Brch Intlum Conicl, Open, New Tech 12 |
| X9HD01B | Insert Temp Infus Dev in R Inner Ear, Open, New Tech 11 |
| X9HE01B | Insert Temp Infus Dev in L Inner Ear, Open, New Tech 11 |
| X9HF01B | Insert Temp Infus Dev in Bi Inner Ear, Open, New Tech 11 |
| XEZ5XKC | AI Triag Notif Imag Abn CT of Chest Abd Pelv, New Tech 12 |
| XEZD3QC | Pericard Access w Conceald Needl, Perc Approach, New Tech 12 |
| XEZJ3NC | Cor Art Imag-Guid Cross/Entry Sys, Perc, New Tech 12 |
| XEZU3HC | AI Guid Nav w Needl Traking, Spinal Canal, Perc, New Tech 12 |
| XEZZXJC | Hi Dimensnl MoE Asses Inflam Respns Org Functn, New Tech 12 |
| XEZZXLC | Comp Detect Notify Abnormall Echocardiography, New Tech 12 |
| XEZZXMC | Comp Detect Notify Abnormal Electrocardiogram, New Tech 12 |
| XEZZXPC | Card Conduc Comput-aid Guid 3D Nav, New Tech 12 |
| XEZZXRC | Comp Detect Notif Cardiac Abnl using Vitl Signs, New Tech 12 |
| XEZZXSC | Card Conduc Comput-aid Intraproc Visualiz Guid, New Tech 12 |
| XFJB3CC | Inspect Hepatobil Duct w Sngl Cscpe, Perc, New Tech 12 |
| XFJB4CC | Inspect Hepatobil Duct w Sngl Cscpe, Perc Endo, New Tech 12 |
| XFJB8BC | Inspect Hepatobil Duct w Sngl-use Chlscpe, Endo, New Tech 12 |
| XFJD3CC | Inspect Pancreat Duct w Sngl Cscpe, Perc, New Tech 12 |
| XFJD4CC | Inspect Pancreat Duct w Sngl Cscpe, Perc Endo, New Tech 12 |
| XFJD8BC | Inspect Pancreat Duct w Sngl-use Chlscpe, Endo, New Tech 12 |
| XHH80JC | Insert CCM w Dfib in Chest Subcu Fasc, Open, New Tech 12 |
| XRH10NC | Insert Carb/PK Stblz Dev in Cerv Jt, Open, New Tech 12 |
| XRH13NC | Insert Carb/PK Stblz Dev in Cerv Jt, Perc, New Tech 12 |
| XRH14NC | Insert Carb/PK Stblz Dev in Cerv Jt, Perc Endo, New Tech 12 |
| XRH20NC | Insert Carb/PK Stblz Dev in 2-6 C Jt, Open, New Tech 12 |
| XRH23NC | Insert Carb/PK Stblz Dev in 2-6 C Jt, Perc, New Tech 12 |
| XRH24NC | Insert Carb/PK Stblz Dev in 2-6 C Jt, Perc Endo, New Tech 12 |
| XRH40NC | Insert Carb/PK Stblz Dev in C-thr Jt, Open, New Tech 12 |
| XRH43NC | Insert Carb/PK Stblz Dev in C-thr Jt, Perc, New Tech 12 |
| XRH44NC | Insert Carb/PK Stblz Dev in C-thr Jt, Perc Endo, New Tech 12 |
| XRH60NC | Insert Carb/PK Stblz Dev in Thor Jt, Open, New Tech 12 |
| XRH63NC | Insert Carb/PK Stblz Dev in Thor Jt, Perc, New Tech 12 |
| XRH64NC | Insert Carb/PK Stblz Dev in Thor Jt, Perc Endo, New Tech 12 |
| XU7G71B | Dilate Vagina w Tmp Electr Intrlum, Via Opening, New Tech 11 |
| XW0134C | Introduce Elamipretide in Subcu, Perc, New Tech 12 |
| XW0330B | Introduce Alph-prtn Inhib in Periph Vein, Perc, New Tech 11 |
| XW0331B | Introduce anito-cel in Periph Vein, Perc, New Tech 11 |
| XW0336C | Introduce Landiolol in Periph Vein, Perc, New Tech 12 |
| XW0337C | Introduce Zimislecel in Periph Vein, Perc, New Tech 12 |
| XW0430B | Introduce Alph-prtn Inhib in Central Vein, Perc, New Tech 11 |
| XW0431B | Introduce anito-cel in Central Vein, Perc, New Tech 11 |
| XW0436C | Introduce Landiolol in Central Vein, Perc, New Tech 12 |
| XW0534B | Introduce Somat Stem Cell in Periph Art, Perc, New Tech 11 |
| XW0632B | Introduce CPI-601 in Cereb Vent, Perc, New Tech 11 |
| XW0E33B | Introduce Lunstgen Parvec in Ear(s), Perc, New Tech 11 |
| XW0Q35C | Introduce Ifezn Inparv in Cranial/Brain, Perc, New Tech 12 |
| XW0U0CC | Introduce rhBMP-2 Collg Scafld in Jt, Open, New Tech 12 |
| XW0V0BC | Introduce Vancomy Bone Vd Fill in Bones, Open, New Tech 12 |
| XXE2XHC | Measure Cardiac Conductn Comput-aid Map Planning New Tech 12 |
Section F: Physical Rehabilitation and Diagnostic Audiology 23 new
| Code | Description |
|---|---|
| F07DYD0 | Electrotherap, Integu Head, Neck, Micrcrnt Stim |
| F07EYD0 | Electrotherap, Integu Thorax/Abdomen, Micrcrnt Stim |
| F07FYD0 | Electrotherap, Integu Up Back/UE, Micrcrnt Stim |
| F07GYD0 | Electrotherap, Integu Low Back/LE, Micrcrnt Stim |
| F07HYD0 | Electrotherap Treatment of Integu Body using Micrcrnt Stim |
| F08E5AZ | Wound Mgmt Trmt Integu Thorax/Abdomen w Neg Press Ther |
| F08E5BZ | Wound Mgmt Trmt Integu Thorax/Abdomen w Physical Agent |
| F08E5CZ | Wound Mgmt Trmt Integu Thorax/Abdomen w Mech Equip |
| F08E5DZ | Wound Mgmt Trmt Integu Thorax/Abdomen w Electrotherap Equip |
| F08E5EZ | Wound Mgmt Treatment of Integu Thorax/Abdomen using Orthosis |
| F08E5FZ | Wound Mgmt Trmt Integu Thorax/Abdomen w Assist Equip |
| F08E5UZ | Wound Mgmt Trmt Integu Thorax/Abdomen w Prosthesis |
| F08E5YZ | Wound Mgmt Trmt Integu Thorax/Abdomen w Oth Equip |
| F08E5ZZ | Wound Management Treatment of Integu Thorax/Abdomen |
| F08P5AZ | Wound Mgmt Trmt Mscskl Thorax/Abdomen w Neg Press Ther |
| F08P5BZ | Wound Mgmt Trmt Mscskl Thorax/Abdomen w Physical Agent |
| F08P5CZ | Wound Mgmt Trmt Mscskl Thorax/Abdomen w Mech Equip |
| F08P5DZ | Wound Mgmt Trmt Mscskl Thorax/Abdomen w Electrotherap Equip |
| F08P5EZ | Wound Mgmt Treatment of Mscskl Thorax/Abdomen using Orthosis |
| F08P5FZ | Wound Mgmt Trmt Mscskl Thorax/Abdomen w Assist Equip |
| F08P5UZ | Wound Mgmt Trmt Mscskl Thorax/Abdomen w Prosthesis |
| F08P5YZ | Wound Mgmt Trmt Mscskl Thorax/Abdomen w Oth Equip |
| F08P5ZZ | Wound Management Treatment of Mscskl Thorax/Abdomen |
FY 2027 New Codes FAQ
How many new ICD-10-PCS codes were added for FY 2027?
The FY 2027 release adds 181 new procedure codes across 7 sections, with the largest share in Medical and Surgical (74 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.
Who uses ICD-10-PCS codes?
ICD-10-PCS is used only for hospital inpatient procedure reporting in the United States. Physician offices and outpatient facilities report procedures with CPT and HCPCS codes instead.
Related References
FY 2027 ICD-10-PCS Updates Overview
Revised ICD-10-PCS Codes
Deleted 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.
