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ICD-10-PCS 2027 procedure code

0DW643ZRevision of Infusion Device in Stomach, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Revision of Infusion 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 0DW643Z

0DW643Z is the ICD-10-PCS code for a revision procedure on the stomach using a percutaneous endoscopic approach with infusion 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 laparoscopic revision of gastric restrictive procedure, the ICD-9-CM procedure title it maps to (44.96).

For a different body part, codes include 0DW043Z (upper intestinal tract) and 0DWD43Z (lower intestinal tract).

The same procedure with a different approach is coded 0DW603Z (open), 0DW633Z (percutaneous), 0DW673Z (via natural or artificial opening), 0DW683Z (via natural or artificial opening endoscopic) and 0DW6X3Z (external).

With a different device, use 0DW640Z (drainage device), 0DW642Z (monitoring 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 619 (O.R. Procedures for Obesity with MCC), DRG 620 (O.R. Procedures for Obesity with CC) and DRG 621 (O.R. Procedures for Obesity without CC/MCC), under the surgical category “O.R. Procedures for Obesity”.

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
3Infusion Device

Includes: Ascenda Intrathecal Catheter; InDura, intrathecal catheter (1P) (spinal); Non-tunneled central venous catheter; Peripherally inserted central catheter (PICC); Tunneled spinal (intrathecal) catheter

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.

MDC 10 · Endocrine, Nutritional and Metabolic Diseases and Disorders · O.R. Procedures for Obesity

ICD-9-CM equivalent

Converter →
  • 44.96Laparoscopic revision of gastric restrictive procedureapproximate

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 0DW643Z

Is 0DW643Z a valid ICD-10-PCS code for 2027?

Yes. 0DW643Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DW643Z an O.R. procedure?

Yes. 0DW643Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DW643Z group to?

Depending on the principal diagnosis, 0DW643Z can group to MS-DRG 619, MS-DRG 620 and MS-DRG 621.

What is the ICD-9 procedure code for 0DW643Z?

The CMS GEMs map 0DW643Z to ICD-9-CM 44.96 (Laparoscopic revision of gastric restrictive procedure).