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ICD-10-PCS 2027 procedure code

0DB64Z3Excision of Stomach, Percutaneous Endoscopic Approach, Vertical

✓ Valid for 2027O.R. procedure

Short description: Excision of Stomach, Percutaneous Endoscopic Approach, Vert

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 0DB64Z3

0DB64Z3 is the ICD-10-PCS code for a excision procedure on the stomach using a percutaneous endoscopic approach (qualifier: vertical). In ICD-10-PCS, excision means cutting out or off, without replacement, a portion of a body part.

In plain terms, this corresponds to laparoscopic vertical (sleeve) gastrectomy, the ICD-9-CM procedure title it maps to (43.82).

The same procedure with a different approach is coded 0DB60Z3 (open), 0DB63Z3 (percutaneous), 0DB67Z3 (via natural or artificial opening) and 0DB68Z3 (via natural or artificial opening endoscopic).

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 619 (O.R. Procedures for Obesity with MCC), DRG 620 (O.R. Procedures for Obesity with CC) and DRG 621 (O.R. Procedures for Obesity without CC/MCC), under the surgical categories “Stomach, Esophageal and Duodenal Procedures”, “O.R. Procedures for Obesity”, “Lymphoma and Leukemia with Major O.R. Procedures” 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
BExcision

Cutting out or off, without replacement, a portion of a body part

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

Includes: Partial nephrectomy, liver biopsy

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
ZNo Device
7. Qualifier
3Vertical

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.

MDC 10 · Endocrine, Nutritional and Metabolic Diseases and Disorders · O.R. Procedures for Obesity

ICD-9-CM equivalent

Converter →
  • 43.82Laparoscopic vertical (sleeve) gastrectomyapproximate

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 0DB64Z3

Is 0DB64Z3 a valid ICD-10-PCS code for 2027?

Yes. 0DB64Z3 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DB64Z3 an O.R. procedure?

Yes. 0DB64Z3 is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DB64Z3 group to?

Depending on the principal diagnosis, 0DB64Z3 can group to MS-DRG 326, MS-DRG 327, MS-DRG 328, MS-DRG 619, MS-DRG 620 and MS-DRG 621.

What is the ICD-9 procedure code for 0DB64Z3?

The CMS GEMs map 0DB64Z3 to ICD-9-CM 43.82 (Laparoscopic vertical (sleeve) gastrectomy).