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ICD-10-PCS 2027 procedure code

0DV74ZZRestriction of Stomach, Pylorus, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Restriction of Stomach, Pylorus, 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 0DV74ZZ

0DV74ZZ is the ICD-10-PCS code for a restriction procedure on the stomach, pylorus using a percutaneous endoscopic approach. 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 pyloroplasty, the ICD-9-CM procedure title it maps to (44.29).

For a different body part, codes include 0DV14ZZ (esophagus, upper), 0DV24ZZ (esophagus, middle), 0DV34ZZ (esophagus, lower), 0DV44ZZ (esophagogastric junction), 0DV54ZZ (esophagus), 0DV64ZZ (stomach) and 15 more.

The same procedure with a different approach is coded 0DV70ZZ (open), 0DV73ZZ (percutaneous), 0DV77ZZ (via natural or artificial opening) and 0DV78ZZ (via natural or artificial opening endoscopic).

With a different device, use 0DV74CZ (extraluminal device) and 0DV74DZ (intraluminal 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) 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
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
7Stomach, Pylorus

Includes: Pyloric antrum; Pyloric canal; Pyloric sphincter

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
ZNo Device
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 0DV74ZZ

Is 0DV74ZZ a valid ICD-10-PCS code for 2027?

Yes. 0DV74ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DV74ZZ an O.R. procedure?

Yes. 0DV74ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DV74ZZ group to?

Depending on the principal diagnosis, 0DV74ZZ can group to MS-DRG 326, MS-DRG 327 and MS-DRG 328.

What is the ICD-9 procedure code for 0DV74ZZ?

The CMS GEMs map 0DV74ZZ to ICD-9-CM 44.29 (Other pyloroplasty).