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ICD-10-PCS 2027 procedure code

0DH643ZInsertion of Infusion Device into Stomach, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Insertion of Infusion Dev into 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 0DH643Z

0DH643Z is the ICD-10-PCS code for a insertion procedure on the stomach using a percutaneous endoscopic approach with infusion device. In ICD-10-PCS, insertion means putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of 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 0DH543Z (esophagus), 0DH843Z (small intestine), 0DH943Z (duodenum), 0DHA43Z (jejunum) and 0DHB43Z (ileum).

The same procedure with a different approach is coded 0DH603Z (open), 0DH633Z (percutaneous), 0DH673Z (via natural or artificial opening) and 0DH683Z (via natural or artificial opening endoscopic).

With a different device, use 0DH641Z (radioactive element), 0DH642Z (monitoring device), 0DH64DZ (intraluminal device), 0DH64MZ (stimulator lead), 0DH64UZ (feeding device) and 0DH64YZ (other device).

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 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC) and DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), under the surgical categories “Stomach, Esophageal and Duodenal 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
HInsertion

Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part

Includes: Insertion of radioactive implant, insertion of central venous catheter

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
3Infusion Device

Includes: Ascenda Intrathecal Catheter; InDura, intrathecal catheter (1P) (spinal); Non-tunneled central venous catheter; Peripherally inserted central catheter (PICC); Tunneled spinal (intrathecal) catheter

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 0DH643Z

Is 0DH643Z a valid ICD-10-PCS code for 2027?

Yes. 0DH643Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DH643Z an O.R. procedure?

Yes. 0DH643Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DH643Z group to?

Depending on the principal diagnosis, 0DH643Z can group to MS-DRG 326, MS-DRG 327, MS-DRG 328, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0DH643Z?

The CMS GEMs map 0DH643Z to ICD-9-CM 43.0 (Gastrotomy).