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ICD-10-PCS 2027 procedure code

0DV40CZRestriction of Esophagogastric Junction with Extraluminal Device, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Restrict Esophagast Junct w Extralum Dev, Open

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 0DV40CZ

0DV40CZ is the ICD-10-PCS code for a restriction procedure on the esophagogastric junction using an open approach with extraluminal device. In ICD-10-PCS, restriction means partially closing an orifice or the lumen of a tubular body part.

In plain terms, this corresponds to other procedures for creation of esophagogastric sphincteric competence, the ICD-9-CM procedure title it maps to (44.66).

For a different body part, codes include 0DV10CZ (esophagus, upper), 0DV20CZ (esophagus, middle), 0DV30CZ (esophagus, lower), 0DV50CZ (esophagus), 0DV60CZ (stomach), 0DV70CZ (stomach, pylorus) and 15 more.

The same procedure with a different approach is coded 0DV43CZ (percutaneous) and 0DV44CZ (percutaneous endoscopic).

With a different device, use 0DV40DZ (intraluminal device) and 0DV40ZZ (no device).

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”, “Other O.R. Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.

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
VRestriction

Partially closing an orifice or the lumen of a tubular body part

The orifice can be a natural orifice or an artificially created orifice

Includes: Esophagogastric fundoplication, cervical cerclage

4. Body Part
4Esophagogastric Junction

Includes: Cardia; Cardioesophageal junction; Gastroesophageal (GE) junction

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
CExtraluminal Device

Includes: AtriClip LAA Exclusion System; LAP-BAND(R) adjustable gastric banding system; REALIZE(R) Adjustable Gastric Band

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 →
  • 44.66Other procedures for creation of esophagogastric sphincteric competenceapproximate

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 0DV40CZ

Is 0DV40CZ a valid ICD-10-PCS code for 2027?

Yes. 0DV40CZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DV40CZ an O.R. procedure?

Yes. 0DV40CZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DV40CZ group to?

Depending on the principal diagnosis, 0DV40CZ 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 0DV40CZ?

The CMS GEMs map 0DV40CZ to ICD-9-CM 44.66 (Other procedures for creation of esophagogastric sphincteric competence).