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ICD-10-PCS 2027 procedure code

0DV78ZZRestriction of Stomach, Pylorus, Via Natural or Artificial Opening Endoscopic

✓ Valid for 2027O.R. procedure

Short description: Restriction of Stomach, Pylorus, 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 0DV78ZZ

0DV78ZZ is the ICD-10-PCS code for a restriction procedure on the stomach, pylorus using a via natural or artificial opening 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 0DV18ZZ (esophagus, upper), 0DV28ZZ (esophagus, middle), 0DV38ZZ (esophagus, lower), 0DV48ZZ (esophagogastric junction), 0DV58ZZ (esophagus), 0DV68ZZ (stomach) and 15 more.

The same procedure with a different approach is coded 0DV70ZZ (open), 0DV73ZZ (percutaneous), 0DV74ZZ (percutaneous endoscopic) and 0DV77ZZ (via natural or artificial opening).

With a different device, use 0DV78DZ (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
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
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 0DV78ZZ

Is 0DV78ZZ a valid ICD-10-PCS code for 2027?

Yes. 0DV78ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DV78ZZ an O.R. procedure?

Yes. 0DV78ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DV78ZZ group to?

Depending on the principal diagnosis, 0DV78ZZ can group to MS-DRG 326, MS-DRG 327 and MS-DRG 328.

What is the ICD-9 procedure code for 0DV78ZZ?

The CMS GEMs map 0DV78ZZ to ICD-9-CM 44.29 (Other pyloroplasty).