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ICD-10-PCS 2027 procedure code

0DW647ZRevision of Autologous Tissue Substitute in Stomach, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Revision of Autol Sub 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 0DW647Z

0DW647Z is the ICD-10-PCS code for a revision procedure on the stomach using a percutaneous endoscopic approach with autologous tissue substitute. 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 0DW047Z (upper intestinal tract), 0DW847Z (small intestine), 0DWD47Z (lower intestinal tract), 0DWE47Z (large intestine), 0DWU47Z (omentum), 0DWV47Z (mesentery) and 1 more.

The same procedure with a different approach is coded 0DW607Z (open), 0DW637Z (percutaneous), 0DW677Z (via natural or artificial opening), 0DW687Z (via natural or artificial opening endoscopic) and 0DW6X7Z (external).

With a different device, use 0DW640Z (drainage device), 0DW642Z (monitoring device), 0DW643Z (infusion device), 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
7Autologous Tissue Substitute

Includes: Autograft; Cultured epidermal cell autograft; Epicel(R) cultured epidermal autograft

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 0DW647Z

Is 0DW647Z a valid ICD-10-PCS code for 2027?

Yes. 0DW647Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DW647Z an O.R. procedure?

Yes. 0DW647Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DW647Z group to?

Depending on the principal diagnosis, 0DW647Z 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 0DW647Z?

The CMS GEMs map 0DW647Z to ICD-9-CM 43.0 (Gastrotomy).