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Inpatient Procedure Code

0W1B4JB

Bypass Left Pleural Cavity to Left Pleural Cavity with Synthetic Substitute, Percutaneous Endoscopic Approach

Bypass L Pleural Cav to L Pleural Cav w Synth Sub, Perc Endo

Axis Breakdown

Every ICD-10-PCS code is exactly seven characters, one per axis. Each character's meaning is defined by its position in the code.

PositionValueMeaning
1
Section0

Medical and Surgical

2
Body SystemW

Anatomical Regions, General

3
Root Operation1

Bypass

Altering the route of passage of the contents of a tubular body part

4
Body PartB

Pleural Cavity, Left

5
Approach4

Percutaneous Endoscopic

6
DeviceJ

Synthetic Substitute

7
QualifierB

Pleural Cavity, Left

Potential MS-DRG Relationships (FY2026)

The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 9 MS-DRGs:

From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.

Contextual Map

Every relationship of 0W1B4JB in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

PCS table

  • 0W1[PCS table]
  • [object Object] — Section: [object Object] [Section]: “[object Object]”
  • [object Object] — Body System: [object Object] [Body System]: “[object Object]”
  • [object Object] — Operation: [object Object] [Operation]: “[object Object]”

MS-DRG participation (9)

  • DRG 166 — OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC [MS-DRG]: “OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC — Other Respiratory System O.R. Procedures (MDC 04)”
  • DRG 167 — OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC [MS-DRG]: “OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC — Other Respiratory System O.R. Procedures (MDC 04)”
  • DRG 168 — OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC [MS-DRG]: “OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC — Other Respiratory System O.R. Procedures (MDC 04)”
  • DRG 907 — OTHER O.R. PROCEDURES FOR INJURIES WITH MCC [MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH MCC — Other O.R. Procedures for Injuries (MDC 21)”
  • DRG 908 — OTHER O.R. PROCEDURES FOR INJURIES WITH CC [MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH CC — Other O.R. Procedures for Injuries (MDC 21)”
  • DRG 909 — OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC [MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC — Other O.R. Procedures for Injuries (MDC 21)”
  • DRG 957 — OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC [MS-DRG]: “OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC — Other O.R. Procedures for Multiple Significant Trauma (MDC 24)”
  • DRG 958 — OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC [MS-DRG]: “OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC — Other O.R. Procedures for Multiple Significant Trauma (MDC 24)”
  • and 1 more

MDC crossing · diagnoses (15803)

  • MDC 04 — Diseases and Disorders of the Respiratory System [MDC crossing]: “Diseases and Disorders of the Respiratory System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
  • MDC 21 — Injuries, Poisonings and Toxic Effects of Drugs [MDC crossing]: “Injuries, Poisonings and Toxic Effects of Drugs — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
  • A02.22 — Salmonella pneumonia [Same-MDC diagnosis]: “Salmonella pneumonia — grouped in MDC 04, the diagnosis side of this code's crossing.” · check together
  • A06.5 — Amebic lung abscess [Same-MDC diagnosis]: “Amebic lung abscess — grouped in MDC 04, the diagnosis side of this code's crossing.” · check together
  • A15.0 — Tuberculosis of lung [Same-MDC diagnosis]: “Tuberculosis of lung — grouped in MDC 04, the diagnosis side of this code's crossing.” · check together
  • A15.4 — Tuberculosis of intrathoracic lymph nodes [Same-MDC diagnosis]: “Tuberculosis of intrathoracic lymph nodes — grouped in MDC 04, the diagnosis side of this code's crossing.” · check together
  • A15.5 — Tuberculosis of larynx, trachea and bronchus [Same-MDC diagnosis]: “Tuberculosis of larynx, trachea and bronchus — grouped in MDC 04, the diagnosis side of this code's crossing.” · check together
  • and 15798 more

Nearest codes

  • 0W194JB — Bypass Right Pleural Cavity to Left Pleural Cavity with Synthetic Substitute, Percutaneous Endoscopic Approach [One axis away]
  • 0W1B0JB — Bypass Left Pleural Cavity to Left Pleural Cavity with Synthetic Substitute, Open Approach [One axis away]
  • 0W1B3JB — Bypass Left Pleural Cavity to Left Pleural Cavity with Synthetic Substitute, Percutaneous Approach [One axis away]
  • 0W1B4J4 — Bypass Left Pleural Cavity to Cutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach [One axis away]
  • 0W1B4J9 — Bypass Left Pleural Cavity to Right Pleural Cavity with Synthetic Substitute, Percutaneous Endoscopic Approach [One axis away]
  • 0W1B4JG — Bypass Left Pleural Cavity to Peritoneal Cavity with Synthetic Substitute, Percutaneous Endoscopic Approach [One axis away]
  • 0W1B4JJ — Bypass Left Pleural Cavity to Pelvic Cavity with Synthetic Substitute, Percutaneous Endoscopic Approach [One axis away]
  • 0W1B4JW — Bypass Left Pleural Cavity to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach [One axis away]

Change history

No changes recorded for this code — unchanged since the FY2026 (April) baseline of the change ledger.