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ICD-10-PCS 2027 procedure code

0DBJ4ZXExcision of Appendix, Percutaneous Endoscopic Approach, Diagnostic

✓ Valid for 2027O.R. procedure

Short description: Excision of Appendix, Perc Endo Approach, 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 0DBJ4ZX

0DBJ4ZX is the ICD-10-PCS code for a excision procedure on the appendix using a percutaneous endoscopic approach (qualifier: diagnostic). In ICD-10-PCS, excision means cutting out or off, without replacement, a portion of a body part.

In plain terms, this corresponds to other operations on appendix, the ICD-9-CM procedure title it maps to (47.99).

For a different body part, codes include 0DB14ZX (esophagus, upper), 0DB24ZX (esophagus, middle), 0DB34ZX (esophagus, lower), 0DB44ZX (esophagogastric junction), 0DB54ZX (esophagus), 0DB64ZX (stomach) and 20 more.

The same procedure with a different approach is coded 0DBJ0ZX (open), 0DBJ3ZX (percutaneous), 0DBJ7ZX (via natural or artificial opening) and 0DBJ8ZX (via natural or artificial opening endoscopic).

It is an operating-room procedure in the MS-DRG logic for DRG 397 (Appendix Procedures with MCC), DRG 398 (Appendix Procedures with CC) and DRG 399 (Appendix Procedures without CC/MCC), under the surgical category “Appendix 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
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
JAppendix

Includes: Appendiceal orifice; Vermiform appendix

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
XDiagnostic

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 →
  • 47.99Other operations on appendixapproximate

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 0DBJ4ZX

Is 0DBJ4ZX a valid ICD-10-PCS code for 2027?

Yes. 0DBJ4ZX is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DBJ4ZX an O.R. procedure?

Yes. 0DBJ4ZX is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DBJ4ZX group to?

Depending on the principal diagnosis, 0DBJ4ZX can group to MS-DRG 397, MS-DRG 398 and MS-DRG 399.

What is the ICD-9 procedure code for 0DBJ4ZX?

The CMS GEMs map 0DBJ4ZX to ICD-9-CM 47.99 (Other operations on appendix).