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ICD-10-PCS 2027 procedure code

0DD78ZXExtraction of Stomach, Pylorus, Via Natural or Artificial Opening Endoscopic, Diagnostic

✓ Valid for 2027

Short description: Extraction of Stomach, Pylorus, Endo, Diagn

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 0DD78ZX

0DD78ZX is the ICD-10-PCS code for a extraction procedure on the stomach, pylorus using a via natural or artificial opening endoscopic approach (qualifier: diagnostic). In ICD-10-PCS, extraction means pulling or stripping out or off all or a portion of a body part by the use of force.

In plain terms, this corresponds to Esophagogastroduodenoscopy [EGD] with closed biopsy, the ICD-9-CM procedure title it maps to (45.16).

For a different body part, codes include 0DD18ZX (esophagus, upper), 0DD28ZX (esophagus, middle), 0DD38ZX (esophagus, lower), 0DD48ZX (esophagogastric junction), 0DD58ZX (esophagus), 0DD68ZX (stomach) and 16 more.

The same procedure with a different approach is coded 0DD73ZX (percutaneous) and 0DD74ZX (percutaneous endoscopic).

It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.

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
DExtraction

Pulling or stripping out or off all or a portion of a body part by the use of force

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

Includes: Dilation and curettage, vein stripping

4. Body Part
7Stomach, Pylorus

Includes: Pyloric antrum; Pyloric canal; Pyloric sphincter

5. Approach
8Via Natural or Artificial Opening Endoscopic

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

6. Device
ZNo Device
7. Qualifier
XDiagnostic

Other versions of this procedure

ICD-9-CM equivalent

Converter →
  • 45.16Esophagogastroduodenoscopy [EGD] with closed biopsyapproximate

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
  • FY2018 (effective 10/1/2017): Added
  • No changes since FY2018.

Common questions about 0DD78ZX

Is 0DD78ZX a valid ICD-10-PCS code for 2027?

Yes. 0DD78ZX is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 0DD78ZX?

The CMS GEMs map 0DD78ZX to ICD-9-CM 45.16 (Esophagogastroduodenoscopy [EGD] with closed biopsy).