ICD-10-PCS 2027 procedure code
0DBU4ZZExcision of Omentum, Percutaneous Endoscopic Approach
Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data
About 0DBU4ZZ
0DBU4ZZ is the ICD-10-PCS code for a excision procedure on the omentum using a percutaneous endoscopic approach. In ICD-10-PCS, excision means cutting out or off, without replacement, a portion of a body part.
In plain terms, this corresponds to excision or destruction of peritoneal tissue, the ICD-9-CM procedure title it maps to (54.4).
For a different body part, codes include 0DB14ZZ (esophagus, upper), 0DB24ZZ (esophagus, middle), 0DB34ZZ (esophagus, lower), 0DB44ZZ (esophagogastric junction), 0DB54ZZ (esophagus), 0DB64ZZ (stomach) and 20 more.
The same procedure with a different approach is coded 0DBU0ZZ (open) and 0DBU3ZZ (percutaneous).
It is an operating-room procedure in the MS-DRG logic for DRG 356 (Other Digestive System O.R. Procedures with MCC), DRG 357 (Other Digestive System O.R. Procedures with CC), DRG 358 (Other Digestive System O.R. 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 “Other Digestive System O.R. Procedures”, “Other Hepatobiliary or Pancreas O.R. Procedures”, “Other Endocrine, Nutritional and Metabolic O.R. Procedures” and 3 more.
It was added in FY2018, effective October 1, 2017.
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
- UOmentum
Includes: Gastrocolic ligament; Gastrocolic omentum; Gastrohepatic omentum; Gastrophrenic ligament; Gastrosplenic ligament; Greater Omentum; Hepatogastric ligament; Lesser Omentum
- 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
- ZNo Qualifier
Other versions of this procedure
Different body part
Different approach
Different qualifier
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 06 · Diseases and Disorders of the Digestive System · Other Digestive System O.R. Procedures
MDC 07 · Diseases and Disorders of the Hepatobiliary System and Pancreas · Other Hepatobiliary or Pancreas O.R. Procedures
MDC 10 · Endocrine, Nutritional and Metabolic Diseases and Disorders · Other Endocrine, Nutritional and Metabolic O.R. Procedures
MDC 13 · Diseases and Disorders of the Female Reproductive System · Other Female Reproductive System O.R. Procedures
MDC 17 · Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms · Lymphoma and Leukemia with Major O.R. Procedures
MDC 17 · Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms · Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
- 826Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCCRW 4.7581
- 827Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with CCRW 2.3896
- 828Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures without CC/MCCRW 1.6955
ICD-9-CM equivalent
Converter →- 54.4Excision or destruction of peritoneal tissueapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2018 (effective 10/1/2017): Added
- No changes since FY2018.
Common questions about 0DBU4ZZ
Is 0DBU4ZZ a valid ICD-10-PCS code for 2027?
- Yes. 0DBU4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0DBU4ZZ an O.R. procedure?
- Yes. 0DBU4ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0DBU4ZZ group to?
- Depending on the principal diagnosis, 0DBU4ZZ can group to MS-DRG 356, MS-DRG 357, MS-DRG 358, MS-DRG 423, MS-DRG 424 and MS-DRG 425.
What is the ICD-9 procedure code for 0DBU4ZZ?
- The CMS GEMs map 0DBU4ZZ to ICD-9-CM 54.4 (Excision or destruction of peritoneal tissue).