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ICD-10-PCS 2027 procedure code

0D774ZZDilation of Stomach, Pylorus, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Dilation of Stomach, Pylorus, Perc Endo Approach

Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0D774ZZ

0D774ZZ is the ICD-10-PCS code for a dilation procedure on the stomach, pylorus using a percutaneous endoscopic approach. In ICD-10-PCS, dilation means expanding an orifice or the lumen of a tubular body part.

In plain terms, this corresponds to dilation of pylorus by incision, the ICD-9-CM procedure title it maps to (44.21).

For a different body part, codes include 0D714ZZ (esophagus, upper), 0D724ZZ (esophagus, middle), 0D734ZZ (esophagus, lower), 0D744ZZ (esophagogastric junction), 0D754ZZ (esophagus), 0D764ZZ (stomach) and 15 more.

The same procedure with a different approach is coded 0D770ZZ (open), 0D773ZZ (percutaneous), 0D777ZZ (via natural or artificial opening) and 0D778ZZ (via natural or artificial opening endoscopic).

With a different device, use 0D774DZ (intraluminal device).

It is an operating-room procedure in the MS-DRG logic for DRG 326 (Stomach, Esophageal and Duodenal Procedures with MCC), DRG 327 (Stomach, Esophageal and Duodenal Procedures with CC) and DRG 328 (Stomach, Esophageal and Duodenal Procedures without CC/MCC), under the surgical category “Stomach, Esophageal and Duodenal Procedures”.

It has been valid since ICD-10-PCS took effect on October 1, 2015.

What each character means

1. Section
0Medical and Surgical
2. Body System
DGastrointestinal System
3. Operation
7Dilation

Expanding an orifice or the lumen of a tubular body part

The orifice can be a natural orifice or an artificially created orifice. Accomplished by stretching a tubular body part using intraluminal pressure or by cutting part of the orifice or wall of the tubular body part

Includes: Percutaneous transluminal angioplasty, internal urethrotomy

4. Body Part
7Stomach, Pylorus

Includes: Pyloric antrum; Pyloric canal; Pyloric sphincter

5. Approach
4Percutaneous Endoscopic

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

6. Device
ZNo Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

ICD-9-CM equivalent

Converter →
  • 44.21Dilation of pylorus by incisionapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 0D774ZZ

Is 0D774ZZ a valid ICD-10-PCS code for 2027?

Yes. 0D774ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0D774ZZ an O.R. procedure?

Yes. 0D774ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0D774ZZ group to?

Depending on the principal diagnosis, 0D774ZZ can group to MS-DRG 326, MS-DRG 327 and MS-DRG 328.

What is the ICD-9 procedure code for 0D774ZZ?

The CMS GEMs map 0D774ZZ to ICD-9-CM 44.21 (Dilation of pylorus by incision).