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ICD-10-PCS 2027 procedure code

0D878ZZDivision of Stomach, Pylorus, Via Natural or Artificial Opening Endoscopic

✓ Valid for 2027O.R. procedure

Short description: Division of Stomach, Pylorus, Endo

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 0D878ZZ

0D878ZZ is the ICD-10-PCS code for a division procedure on the stomach, pylorus using a via natural or artificial opening endoscopic approach. In ICD-10-PCS, division means cutting into a body part, without draining fluids and/or gases from the body part, in order to separate or transect a body part.

In plain terms, this corresponds to Pyloromyotomy, the ICD-9-CM procedure title it maps to (43.3).

For a different body part, codes include 0D848ZZ (esophagogastric junction).

The same procedure with a different approach is coded 0D870ZZ (open), 0D873ZZ (percutaneous), 0D874ZZ (percutaneous endoscopic) and 0D877ZZ (via natural or artificial opening).

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
8Division

Cutting into a body part, without draining fluids and/or gases from the body part, in order to separate or transect a body part

All or a portion of the body part is separated into two or more portions

Includes: Spinal cordotomy, osteotomy

4. Body Part
7Stomach, Pylorus

Includes: Pyloric antrum; Pyloric canal; Pyloric sphincter

5. Approach
8Via Natural or Artificial Opening Endoscopic

Entry of instrumentation through a natural or artificial external opening 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 →
  • 43.3Pyloromyotomyapproximate

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 0D878ZZ

Is 0D878ZZ a valid ICD-10-PCS code for 2027?

Yes. 0D878ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0D878ZZ an O.R. procedure?

Yes. 0D878ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0D878ZZ group to?

Depending on the principal diagnosis, 0D878ZZ can group to MS-DRG 326, MS-DRG 327 and MS-DRG 328.

What is the ICD-9 procedure code for 0D878ZZ?

The CMS GEMs map 0D878ZZ to ICD-9-CM 43.3 (Pyloromyotomy).