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ICD-10-PCS 2027 procedure code

0DRV47ZReplacement of Mesentery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Replacement of Mesentery with Autol Sub, 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 0DRV47Z

0DRV47Z is the ICD-10-PCS code for a replacement procedure on the mesentery using a percutaneous endoscopic approach with autologous 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 mesentery, the ICD-9-CM procedure title it maps to (54.75).

For a different body part, codes include 0DR547Z (esophagus), 0DRR47Z (anal sphincter), 0DRU47Z (omentum) and 0DRW47Z (peritoneum).

The same procedure with a different approach is coded 0DRV07Z (open).

With a different device, use 0DRV4JZ (synthetic substitute) and 0DRV4KZ (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
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
7Autologous Tissue Substitute

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

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 →
  • 54.75Other 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 0DRV47Z

Is 0DRV47Z a valid ICD-10-PCS code for 2027?

Yes. 0DRV47Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DRV47Z an O.R. procedure?

Yes. 0DRV47Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DRV47Z group to?

Depending on the principal diagnosis, 0DRV47Z 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 0DRV47Z?

The CMS GEMs map 0DRV47Z to ICD-9-CM 54.75 (Other repair of mesentery).