Skip to content
Dx

ICD-10-PCS 2027 procedure code

0DW640ZRevision of Drainage Device in Stomach, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Revision of Drainage Device in Stomach, 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 0DW640Z

0DW640Z is the ICD-10-PCS code for a revision procedure on the stomach using a percutaneous endoscopic approach with drainage device. In ICD-10-PCS, revision means correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device.

In plain terms, this corresponds to Gastrotomy, the ICD-9-CM procedure title it maps to (43.0).

For a different body part, codes include 0DW040Z (upper intestinal tract), 0DWD40Z (lower intestinal tract), 0DWU40Z (omentum), 0DWV40Z (mesentery) and 0DWW40Z (peritoneum).

The same procedure with a different approach is coded 0DW600Z (open), 0DW630Z (percutaneous), 0DW670Z (via natural or artificial opening), 0DW680Z (via natural or artificial opening endoscopic) and 0DW6X0Z (external).

With a different device, use 0DW642Z (monitoring device), 0DW643Z (infusion device), 0DW647Z (autologous tissue substitute), 0DW64CZ (extraluminal device), 0DW64DZ (intraluminal device), 0DW64JZ (synthetic substitute) and 4 more.

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” and “Other O.R. Procedures for Injuries”.

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
WRevision

Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device

Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as a screw or pin

Includes: Adjustment of position of pacemaker lead, recementing of hip prosthesis

4. Body Part
6Stomach
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
0Drainage Device

Includes: Cystostomy tube; Foley catheter; Percutaneous nephrostomy catheter; Thoracostomy tube

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 →
  • 43.0Gastrotomyapproximate

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 0DW640Z

Is 0DW640Z a valid ICD-10-PCS code for 2027?

Yes. 0DW640Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DW640Z an O.R. procedure?

Yes. 0DW640Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DW640Z group to?

Depending on the principal diagnosis, 0DW640Z 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 0DW640Z?

The CMS GEMs map 0DW640Z to ICD-9-CM 43.0 (Gastrotomy).