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ICD-10-PCS 2027 procedure code

0DP677ZRemoval of Autologous Tissue Substitute from Stomach, Via Natural or Artificial Opening

✓ Valid for 2027O.R. procedure

Short description: Removal of Autol Sub from Stomach, Via Opening

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 0DP677Z

0DP677Z is the ICD-10-PCS code for a removal procedure on the stomach using a via natural or artificial opening approach with autologous tissue substitute. In ICD-10-PCS, removal means taking out or off a device 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 0DP077Z (upper intestinal tract) and 0DPD77Z (lower intestinal tract).

The same procedure with a different approach is coded 0DP607Z (open), 0DP637Z (percutaneous), 0DP647Z (percutaneous endoscopic) and 0DP687Z (via natural or artificial opening endoscopic).

With a different device, use 0DP670Z (drainage device), 0DP672Z (monitoring device), 0DP673Z (infusion device), 0DP67CZ (extraluminal device), 0DP67DZ (intraluminal device), 0DP67JZ (synthetic substitute) and 3 more.

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
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
6Stomach
5. Approach
7Via Natural or Artificial Opening

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

6. Device
7Autologous Tissue Substitute

Includes: Autograft; Cultured epidermal cell autograft; Epicel(R) cultured epidermal autograft

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 0DP677Z

Is 0DP677Z a valid ICD-10-PCS code for 2027?

Yes. 0DP677Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DP677Z an O.R. procedure?

Yes. 0DP677Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DP677Z group to?

Depending on the principal diagnosis, 0DP677Z 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 0DP677Z?

The CMS GEMs map 0DP677Z to ICD-9-CM 43.0 (Gastrotomy).