Upcoming — these changes take effect October 1, 2026. Codes are not yet active.

FY2027

ICD-10-PCS code changes

Effective October 1, 2026

+103

Added

-39

Deleted

16

Revised

158

Total

Added (103)

  • 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

  • 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

  • 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

  • 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

  • 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

  • B85

    Imaging, Eye, Other Imaging

  • B85A2ZZ

    Other Imaging of Right Choroid using Fluorescing Agent

  • B85B2ZZ

    Other Imaging of Left Choroid using Fluorescing Agent

  • B85G2ZZ

    Other Imaging of Right Retinal Vessel using Fluor Agent

  • B85H2ZZ

    Other Imaging of Left Retinal Vessel using Fluorescing Agent

  • X0HQ05C

    Insert Leadlss Neurostim Gen in Vagus Nrv, Open, New Tech 12

  • 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

  • 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

  • XEZ

    New Technology, Physiological Systems and Anatomical Regions

  • 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

  • XW0134C

    Introduce Elamipretide in Subcu, Perc, New Tech 12

  • XW0336C

    Introduce Landiolol in Periph Vein, Perc, New Tech 12

  • XW0337C

    Introduce Zimislecel in Periph Vein, Perc, New Tech 12

  • XW0436C

    Introduce Landiolol in Central Vein, Perc, New Tech 12

  • 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

Deleted (39)

Revised (16)

  • X27535B

    Dilate R Subclav Vn w Cel Impermabl Dev, Perc, New Tech 11

  • X27635B

    Dilate L Subclav Vn w Cel Impermabl Dev, Perc, New Tech 11

  • X27735B

    Dilate R Axilla Vn w Cel Impermabl Dev, Perc, New Tech 11

  • X27835B

    Dilate L Axilla Vn w Cel Impermabl Dev, Perc, New Tech 11

  • X27935B

    Dilate R Brach Vn w Cel Impermabl Dev, Perc, New Tech 11

  • X27A35B

    Dilate L Brach Vn w Cel Impermabl Dev, Perc, New Tech 11

  • X27B35B

    Dilate R Basilic Vn w Cel Impermabl Dev, Perc, New Tech 11

  • X27C35B

    Dilate L Basilic Vn w Cel Impermabl Dev, Perc, New Tech 11

  • X27D35B

    Dilate R Cephalic Vn w Cel Impermabl Dev, Perc, New Tech 11

  • X27E35B

    Dilate L Cephalic Vn w Cel Impermabl Dev, Perc, New Tech 11

  • 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

  • XW0E33B

    Introduce Lunstgen Parvec in Ear(s), Perc, New Tech 11

  • XW0V0P7

    Introduce Gent-elut Bon Void Fil in Bones, Open, New Tech 7

  • XW143F8

    Transfuse Etuvetdg Autotm in Central Vein, Perc, New Tech 8