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ICD-10-PCS 2027 procedure code

0DRV0JZReplacement of Mesentery with Synthetic Substitute, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Replacement of Mesentery with Synth Sub, Open 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 0DRV0JZ

0DRV0JZ is the ICD-10-PCS code for a replacement procedure on the mesentery using an open approach with synthetic 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 mesentery, the ICD-9-CM procedure title it maps to (54.75).

For a different body part, codes include 0DR50JZ (esophagus), 0DRR0JZ (anal sphincter), 0DRU0JZ (omentum) and 0DRW0JZ (peritoneum).

The same procedure with a different approach is coded 0DRV4JZ (percutaneous endoscopic).

With a different device, use 0DRV07Z (autologous tissue substitute) and 0DRV0KZ (nonautologous tissue 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 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
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
VMesentery

Includes: Mesoappendix; Mesocolon

5. Approach
0Open

Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

6. Device
JSynthetic Substitute

Includes: AbioCor(R) Total Replacement Heart; AMPLATZER(R) Muscular VSD Occluder; Annuloplasty ring; Bard(R) Composix(R) (E/X)(LP) mesh; Bard(R) Composix(R) Kugel(R) patch; Bard(R) Dulex(tm) mesh; Bard(R) Ventralex(tm) hernia patch; Barricaid(R) Annular Closure Device (ACD); BRYAN(R) Cervical Disc System; Corvia IASD(R); Ex-PRESS(tm) mini glaucoma shunt; Flexible Composite Mesh; GORE(R) ACUSEAL Vascular Graft; GORE(R) CARDIOFORM Septal Occluder; GORE(R) DUALMESH(R); GORE(R) PROPATEN(R) Vascular Graft; GORE(R) VIATORR(R) TIPS Endoprosthesis; Holter valve ventricular shunt; IASD(R) (InterAtrial Shunt Device), Corvia; InterAtrial Shunt Device IASD(R), Corvia; LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System; MitraClip valve repair system; Nitinol framed polymer mesh; Open Pivot (mechanical) valve; Open Pivot Aortic Valve Graft (AVG); Partially absorbable mesh; PHYSIOMESH(tm) Flexible Composite Mesh; Polymethylmethacrylate (PMMA); Polypropylene mesh; PRESTIGE(R) Cervical Disc; PROCEED(tm) Ventral Patch; Prodisc-C; Prodisc-L; PROLENE Polypropylene Hernia System (PHS); Rebound HRD(R) (Hernia Repair Device); SynCardia Total Artificial Heart; Total artificial (replacement) heart; ULTRAPRO Hernia System (UHS); ULTRAPRO Partially Absorbable Lightweight Mesh; ULTRAPRO Plug; V-Wave Interatrial Shunt System; Ventrio(tm) Hernia Patch; Zimmer(R) NexGen(R) LPS Mobile Bearing Knee; Zimmer(R) NexGen(R) LPS-Flex Mobile Knee

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 →
  • 54.75Other repair of mesenteryapproximate

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 0DRV0JZ

Is 0DRV0JZ a valid ICD-10-PCS code for 2027?

Yes. 0DRV0JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DRV0JZ an O.R. procedure?

Yes. 0DRV0JZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DRV0JZ group to?

Depending on the principal diagnosis, 0DRV0JZ 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 0DRV0JZ?

The CMS GEMs map 0DRV0JZ to ICD-9-CM 54.75 (Other repair of mesentery).