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ICD-10-PCS 2027 procedure code

0DW87KZRevision of Nonautologous Tissue Substitute in Small Intestine, Via Natural or Artificial Opening

✓ Valid for 2027O.R. procedure

Short description: Revision of Nonaut Sub in Small Intest, Via Opening

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 0DW87KZ

0DW87KZ is the ICD-10-PCS code for a revision procedure on the small intestine using a via natural or artificial opening approach with nonautologous 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 revision of anastomosis of small intestine, the ICD-9-CM procedure title it maps to (46.93).

For a different body part, codes include 0DW07KZ (upper intestinal tract), 0DW67KZ (stomach), 0DWD7KZ (lower intestinal tract) and 0DWE7KZ (large intestine).

The same procedure with a different approach is coded 0DW80KZ (open), 0DW84KZ (percutaneous endoscopic) and 0DW88KZ (via natural or artificial opening endoscopic).

With a different device, use 0DW877Z (autologous tissue substitute) and 0DW87JZ (synthetic substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 329 (Major Small and Large Bowel Procedures with MCC), DRG 330 (Major Small and Large Bowel Procedures with CC), DRG 331 (Major Small and Large Bowel 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 “Major Small and Large Bowel 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
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
8Small Intestine
5. Approach
7Via Natural or Artificial Opening

Entry of instrumentation through a natural or artificial external opening to reach the site of the procedure

6. Device
KNonautologous Tissue Substitute

Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft

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 →
  • 46.93Revision of anastomosis of small intestineapproximate

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 0DW87KZ

Is 0DW87KZ a valid ICD-10-PCS code for 2027?

Yes. 0DW87KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DW87KZ an O.R. procedure?

Yes. 0DW87KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DW87KZ group to?

Depending on the principal diagnosis, 0DW87KZ can group to MS-DRG 329, MS-DRG 330, MS-DRG 331, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0DW87KZ?

The CMS GEMs map 0DW87KZ to ICD-9-CM 46.93 (Revision of anastomosis of small intestine).