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ICD-10-PCS 2027 procedure code

0DC64ZZExtirpation of Matter from Stomach, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Extirpation of Matter from Stomach, Perc Endo Approach

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 0DC64ZZ

0DC64ZZ is the ICD-10-PCS code for a extirpation procedure on the stomach using a percutaneous endoscopic approach. In ICD-10-PCS, extirpation means taking or cutting out solid matter from a body part.

In plain terms, this corresponds to Gastrotomy, the ICD-9-CM procedure title it maps to (43.0).

For a different body part, codes include 0DC14ZZ (esophagus, upper), 0DC24ZZ (esophagus, middle), 0DC34ZZ (esophagus, lower), 0DC44ZZ (esophagogastric junction), 0DC54ZZ (esophagus), 0DC74ZZ (stomach, pylorus) and 20 more.

The same procedure with a different approach is coded 0DC60ZZ (open), 0DC63ZZ (percutaneous), 0DC67ZZ (via natural or artificial opening) and 0DC68ZZ (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 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” and “Other O.R. Procedures for Injuries”.

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
CExtirpation

Taking or cutting out solid matter from a body part

The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces

Includes: Thrombectomy, choledocholithotomy

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
ZNo Qualifier

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 →
  • 43.0Gastrotomyapproximate

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 0DC64ZZ

Is 0DC64ZZ a valid ICD-10-PCS code for 2027?

Yes. 0DC64ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DC64ZZ an O.R. procedure?

Yes. 0DC64ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DC64ZZ group to?

Depending on the principal diagnosis, 0DC64ZZ 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 0DC64ZZ?

The CMS GEMs map 0DC64ZZ to ICD-9-CM 43.0 (Gastrotomy).