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ICD-10-PCS 2027 procedure code

0D978ZXDrainage of Stomach, Pylorus, Via Natural or Artificial Opening Endoscopic, Diagnostic

✓ Valid for 2027

Short description: Drainage of Stomach, Pylorus, Endo, Diagn

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 0D978ZX

0D978ZX is the ICD-10-PCS code for a drainage procedure on the stomach, pylorus using a via natural or artificial opening endoscopic approach (qualifier: diagnostic). In ICD-10-PCS, drainage means taking or letting out fluids and/or gases from a body part.

In plain terms, this corresponds to Esophagogastroduodenoscopy [EGD] with closed biopsy, the ICD-9-CM procedure title it maps to (45.16).

For a different body part, codes include 0D918ZX (esophagus, upper), 0D928ZX (esophagus, middle), 0D938ZX (esophagus, lower), 0D948ZX (esophagogastric junction), 0D958ZX (esophagus), 0D968ZX (stomach) and 16 more.

The same procedure with a different approach is coded 0D970ZX (open), 0D973ZX (percutaneous), 0D974ZX (percutaneous endoscopic) and 0D977ZX (via natural or artificial opening).

It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.

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
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
XDiagnostic

Other versions of this procedure

Different qualifier

ICD-9-CM equivalent

Converter →
  • 45.16Esophagogastroduodenoscopy [EGD] with closed biopsyapproximate

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 0D978ZX

Is 0D978ZX a valid ICD-10-PCS code for 2027?

Yes. 0D978ZX is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 0D978ZX?

The CMS GEMs map 0D978ZX to ICD-9-CM 45.16 (Esophagogastroduodenoscopy [EGD] with closed biopsy).