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ICD-10-PCS 2027 procedure code

0DU78JZSupplement Stomach, Pylorus with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic

✓ Valid for 2027O.R. procedure

Short description: Supplement Stomach, Pylorus with Synthetic Substitute, 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 0DU78JZ

0DU78JZ is the ICD-10-PCS code for a supplement procedure on the stomach, pylorus using a via natural or artificial opening endoscopic approach with synthetic substitute. In ICD-10-PCS, supplement means putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part.

In plain terms, this corresponds to other pyloroplasty, the ICD-9-CM procedure title it maps to (44.29).

For a different body part, codes include 0DU18JZ (esophagus, upper), 0DU28JZ (esophagus, middle), 0DU38JZ (esophagus, lower), 0DU48JZ (esophagogastric junction), 0DU58JZ (esophagus), 0DU68JZ (stomach) and 15 more.

The same procedure with a different approach is coded 0DU70JZ (open), 0DU74JZ (percutaneous endoscopic) and 0DU77JZ (via natural or artificial opening).

With a different device, use 0DU787Z (autologous tissue substitute) and 0DU78KZ (nonautologous tissue substitute).

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) and DRG 328 (Stomach, Esophageal and Duodenal Procedures without CC/MCC), under the surgical category “Stomach, Esophageal and Duodenal Procedures”.

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
USupplement

Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part

The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced, and the Supplement procedure is performed to physically reinforce and/or augment the function of the replaced body part

Includes: Herniorrhaphy using mesh, mitral valve ring annuloplasty, put a new acetabular liner in a previous hip replacement

4. Body Part
7Stomach, Pylorus

Includes: Pyloric antrum; Pyloric canal; Pyloric sphincter

5. Approach
8Via Natural or Artificial Opening Endoscopic

Entry of instrumentation through a natural or artificial external opening to reach and visualize 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 →
  • 44.29Other pyloroplastyapproximate

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 0DU78JZ

Is 0DU78JZ a valid ICD-10-PCS code for 2027?

Yes. 0DU78JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DU78JZ an O.R. procedure?

Yes. 0DU78JZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DU78JZ group to?

Depending on the principal diagnosis, 0DU78JZ can group to MS-DRG 326, MS-DRG 327 and MS-DRG 328.

What is the ICD-9 procedure code for 0DU78JZ?

The CMS GEMs map 0DU78JZ to ICD-9-CM 44.29 (Other pyloroplasty).