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ICD-10-PCS 2027 procedure code

0DVP4ZZRestriction of Rectum, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

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 0DVP4ZZ

0DVP4ZZ is the ICD-10-PCS code for a restriction procedure on the rectum 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 repair of rectum, the ICD-9-CM procedure title it maps to (48.79).

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 0DVP0ZZ (open), 0DVP3ZZ (percutaneous), 0DVP7ZZ (via natural or artificial opening) and 0DVP8ZZ (via natural or artificial opening endoscopic).

With a different device, use 0DVP4CZ (extraluminal device) and 0DVP4DZ (intraluminal device).

It is an operating-room procedure in the MS-DRG logic for DRG 347 (Anal and Stomal Procedures with MCC), DRG 348 (Anal and Stomal Procedures with CC), DRG 349 (Anal and Stomal 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 “Anal and Stomal 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
PRectum

Includes: Anorectal junction

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 →
  • 48.79Other repair of rectumapproximate

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 0DVP4ZZ

Is 0DVP4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0DVP4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DVP4ZZ an O.R. procedure?

Yes. 0DVP4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DVP4ZZ group to?

Depending on the principal diagnosis, 0DVP4ZZ can group to MS-DRG 347, MS-DRG 348, MS-DRG 349, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0DVP4ZZ?

The CMS GEMs map 0DVP4ZZ to ICD-9-CM 48.79 (Other repair of rectum).