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ICD-10-PCS 2027 procedure code

0DP04KZRemoval of Nonautologous Tissue Substitute from Upper Intestinal Tract, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Remove Nonaut Sub from Up Intest Tract, Perc Endo

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 0DP04KZ

0DP04KZ is the ICD-10-PCS code for a removal procedure on the upper intestinal tract using a percutaneous endoscopic approach with nonautologous tissue substitute. In ICD-10-PCS, removal means taking out or off a device from a body part.

In plain terms, this corresponds to other incision of small intestine, the ICD-9-CM procedure title it maps to (45.02).

For a different body part, codes include 0DP64KZ (stomach), 0DPD4KZ (lower intestinal tract), 0DPU4KZ (omentum), 0DPV4KZ (mesentery) and 0DPW4KZ (peritoneum).

The same procedure with a different approach is coded 0DP00KZ (open), 0DP03KZ (percutaneous), 0DP07KZ (via natural or artificial opening) and 0DP08KZ (via natural or artificial opening endoscopic).

With a different device, use 0DP040Z (drainage device), 0DP042Z (monitoring device), 0DP043Z (infusion device), 0DP047Z (autologous tissue substitute), 0DP04CZ (extraluminal device), 0DP04DZ (intraluminal device) and 3 more.

It is an operating-room procedure in the MS-DRG logic for DRG 344 (Minor Small and Large Bowel Procedures with MCC), DRG 345 (Minor Small and Large Bowel Procedures with CC), DRG 346 (Minor Small and Large Bowel 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 “Minor Small and Large Bowel 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
PRemoval

Taking out or off a device from a body part

If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL

Includes: Drainage tube removal, cardiac pacemaker removal

4. Body Part
0Upper Intestinal Tract
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
KNonautologous Tissue Substitute

Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft

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 →
  • 45.02Other incision of small intestineapproximate

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 0DP04KZ

Is 0DP04KZ a valid ICD-10-PCS code for 2027?

Yes. 0DP04KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DP04KZ an O.R. procedure?

Yes. 0DP04KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DP04KZ group to?

Depending on the principal diagnosis, 0DP04KZ can group to MS-DRG 344, MS-DRG 345, MS-DRG 346, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0DP04KZ?

The CMS GEMs map 0DP04KZ to ICD-9-CM 45.02 (Other incision of small intestine).