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ICD-10-PCS 2027 procedure code

0DRU4KZReplacement of Omentum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Replacement of Omentum with Nonaut Sub, Perc Endo Approach

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 0DRU4KZ

0DRU4KZ is the ICD-10-PCS code for a replacement procedure on the omentum using a percutaneous endoscopic approach with nonautologous tissue substitute. In ICD-10-PCS, replacement means putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part.

In plain terms, this corresponds to other repair of omentum, the ICD-9-CM procedure title it maps to (54.74).

For a different body part, codes include 0DR54KZ (esophagus), 0DRR4KZ (anal sphincter), 0DRV4KZ (mesentery) and 0DRW4KZ (peritoneum).

The same procedure with a different approach is coded 0DRU0KZ (open).

With a different device, use 0DRU47Z (autologous tissue substitute) and 0DRU4JZ (synthetic substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 356 (Other Digestive System O.R. Procedures with MCC), DRG 357 (Other Digestive System O.R. Procedures with CC), DRG 358 (Other Digestive System O.R. 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 “Other Digestive System O.R. Procedures”, “Other Hepatobiliary or Pancreas O.R. Procedures”, “Lymphoma and Leukemia with Major O.R. Procedures” and 3 more.

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
RReplacement

Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part

The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during the Replacement procedure. A Removal procedure is coded for taking out the device used in a previous replacement procedure

Includes: Total hip replacement, bone graft, free skin graft

4. Body Part
UOmentum

Includes: Gastrocolic ligament; Gastrocolic omentum; Gastrohepatic omentum; Gastrophrenic ligament; Gastrosplenic ligament; Greater Omentum; Hepatogastric ligament; Lesser Omentum

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

Different approach

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 →
  • 54.74Other repair of omentumapproximate

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 0DRU4KZ

Is 0DRU4KZ a valid ICD-10-PCS code for 2027?

Yes. 0DRU4KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DRU4KZ an O.R. procedure?

Yes. 0DRU4KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DRU4KZ group to?

Depending on the principal diagnosis, 0DRU4KZ can group to MS-DRG 356, MS-DRG 357, MS-DRG 358, MS-DRG 423, MS-DRG 424 and MS-DRG 425.

What is the ICD-9 procedure code for 0DRU4KZ?

The CMS GEMs map 0DRU4KZ to ICD-9-CM 54.74 (Other repair of omentum).