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ICD-10-PCS 2027 procedure code

0D997ZZDrainage of Duodenum, Via Natural or Artificial Opening

✓ Valid for 2027O.R. procedure

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 0D997ZZ

0D997ZZ is the ICD-10-PCS code for a drainage procedure on the duodenum using a via natural or artificial opening approach. In ICD-10-PCS, drainage means taking or letting out fluids and/or gases from a body part.

In plain terms, this corresponds to incision of duodenum, the ICD-9-CM procedure title it maps to (45.01).

For a different body part, codes include 0D917ZZ (esophagus, upper), 0D927ZZ (esophagus, middle), 0D937ZZ (esophagus, lower), 0D947ZZ (esophagogastric junction), 0D957ZZ (esophagus), 0D967ZZ (stomach) and 16 more.

The same procedure with a different approach is coded 0D990ZZ (open), 0D993ZZ (percutaneous), 0D994ZZ (percutaneous endoscopic) and 0D998ZZ (via natural or artificial opening endoscopic).

With a different device, use 0D9970Z (drainage 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”, “Other O.R. Procedures for Injuries” and 1 more.

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
9Duodenum
5. Approach
7Via Natural or Artificial Opening

Entry of instrumentation through a natural or artificial external opening to reach the site of the procedure

6. Device
ZNo Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

Different device

Different qualifier

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 →
  • 45.01Incision of duodenumapproximate

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 0D997ZZ

Is 0D997ZZ a valid ICD-10-PCS code for 2027?

Yes. 0D997ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0D997ZZ an O.R. procedure?

Yes. 0D997ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0D997ZZ group to?

Depending on the principal diagnosis, 0D997ZZ 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 0D997ZZ?

The CMS GEMs map 0D997ZZ to ICD-9-CM 45.01 (Incision of duodenum).