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ICD-10-PCS 2027 procedure code

0D9640ZDrainage of Stomach with Drainage Device, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Drainage of Stomach with Drainage Device, 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 0D9640Z

0D9640Z is the ICD-10-PCS code for a drainage procedure on the stomach using a percutaneous endoscopic approach with drainage device. In ICD-10-PCS, drainage means taking or letting out fluids and/or gases from a body part.

In plain terms, this corresponds to Gastrotomy, the ICD-9-CM procedure title it maps to (43.0).

For a different body part, codes include 0D9140Z (esophagus, upper), 0D9240Z (esophagus, middle), 0D9340Z (esophagus, lower), 0D9440Z (esophagogastric junction), 0D9540Z (esophagus), 0D9740Z (stomach, pylorus) and 20 more.

The same procedure with a different approach is coded 0D9600Z (open), 0D9630Z (percutaneous), 0D9670Z (via natural or artificial opening) and 0D9680Z (via natural or artificial opening endoscopic).

With a different device, use 0D964ZZ (no 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), DRG 328 (Stomach, Esophageal and Duodenal Procedures without CC/MCC), DRG 423 (Other Hepatobiliary or Pancreas O.R. Procedures with MCC), DRG 424 (Other Hepatobiliary or Pancreas O.R. Procedures with CC) and DRG 425 (Other Hepatobiliary or Pancreas O.R. Procedures without CC/MCC), under the surgical categories “Stomach, Esophageal and Duodenal Procedures”, “Other Hepatobiliary or Pancreas O.R. Procedures” and “Other O.R. Procedures for Injuries”.

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
9Drainage

Taking or letting out fluids and/or gases from a body part

The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies

Includes: Thoracentesis, incision and drainage

4. Body Part
6Stomach
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
0Drainage Device

Includes: Cystostomy tube; Foley catheter; Percutaneous nephrostomy catheter; Thoracostomy tube

7. Qualifier
ZNo Qualifier

Other versions of this procedure

Different device

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 →
  • 43.0Gastrotomyapproximate

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 0D9640Z

Is 0D9640Z a valid ICD-10-PCS code for 2027?

Yes. 0D9640Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0D9640Z an O.R. procedure?

Yes. 0D9640Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0D9640Z group to?

Depending on the principal diagnosis, 0D9640Z can group to MS-DRG 326, MS-DRG 327, MS-DRG 328, MS-DRG 423, MS-DRG 424 and MS-DRG 425.

What is the ICD-9 procedure code for 0D9640Z?

The CMS GEMs map 0D9640Z to ICD-9-CM 43.0 (Gastrotomy).