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ICD-10-PCS 2027 procedure code

0DWU4JZRevision of Synthetic Substitute in Omentum, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Revision of Synth Sub in Omentum, 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 0DWU4JZ

0DWU4JZ is the ICD-10-PCS code for a revision procedure on the omentum using a percutaneous endoscopic approach with synthetic 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 incision of peritoneum, the ICD-9-CM procedure title it maps to (54.95).

For a different body part, codes include 0DW04JZ (upper intestinal tract), 0DW64JZ (stomach), 0DW84JZ (small intestine), 0DWD4JZ (lower intestinal tract), 0DWE4JZ (large intestine), 0DWV4JZ (mesentery) and 1 more.

The same procedure with a different approach is coded 0DWU0JZ (open) and 0DWU3JZ (percutaneous).

With a different device, use 0DWU40Z (drainage device), 0DWU47Z (autologous tissue substitute) and 0DWU4KZ (nonautologous tissue substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 356 (Other Digestive System O.R. Procedures with MCC), DRG 357 (Other Digestive System O.R. Procedures with CC) and DRG 358 (Other Digestive System O.R. Procedures without CC/MCC), under the surgical category “Other Digestive System O.R. Procedures”.

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
UOmentum

Includes: Gastrocolic ligament; Gastrocolic omentum; Gastrohepatic omentum; Gastrophrenic ligament; Gastrosplenic ligament; Greater Omentum; Hepatogastric ligament; Lesser Omentum

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
JSynthetic Substitute

Includes: AbioCor(R) Total Replacement Heart; AMPLATZER(R) Muscular VSD Occluder; Annuloplasty ring; Bard(R) Composix(R) (E/X)(LP) mesh; Bard(R) Composix(R) Kugel(R) patch; Bard(R) Dulex(tm) mesh; Bard(R) Ventralex(tm) hernia patch; Barricaid(R) Annular Closure Device (ACD); BRYAN(R) Cervical Disc System; Corvia IASD(R); Ex-PRESS(tm) mini glaucoma shunt; Flexible Composite Mesh; GORE(R) ACUSEAL Vascular Graft; GORE(R) CARDIOFORM Septal Occluder; GORE(R) DUALMESH(R); GORE(R) PROPATEN(R) Vascular Graft; GORE(R) VIATORR(R) TIPS Endoprosthesis; Holter valve ventricular shunt; IASD(R) (InterAtrial Shunt Device), Corvia; InterAtrial Shunt Device IASD(R), Corvia; LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System; MitraClip valve repair system; Nitinol framed polymer mesh; Open Pivot (mechanical) valve; Open Pivot Aortic Valve Graft (AVG); Partially absorbable mesh; PHYSIOMESH(tm) Flexible Composite Mesh; Polymethylmethacrylate (PMMA); Polypropylene mesh; PRESTIGE(R) Cervical Disc; PROCEED(tm) Ventral Patch; Prodisc-C; Prodisc-L; PROLENE Polypropylene Hernia System (PHS); Rebound HRD(R) (Hernia Repair Device); SynCardia Total Artificial Heart; Total artificial (replacement) heart; ULTRAPRO Hernia System (UHS); ULTRAPRO Partially Absorbable Lightweight Mesh; ULTRAPRO Plug; V-Wave Interatrial Shunt System; Ventrio(tm) Hernia Patch; Zimmer(R) NexGen(R) LPS Mobile Bearing Knee; Zimmer(R) NexGen(R) LPS-Flex Mobile Knee

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 →
  • 54.95Incision of peritoneumapproximate

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 0DWU4JZ

Is 0DWU4JZ a valid ICD-10-PCS code for 2027?

Yes. 0DWU4JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DWU4JZ an O.R. procedure?

Yes. 0DWU4JZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DWU4JZ group to?

Depending on the principal diagnosis, 0DWU4JZ can group to MS-DRG 356, MS-DRG 357 and MS-DRG 358.

What is the ICD-9 procedure code for 0DWU4JZ?

The CMS GEMs map 0DWU4JZ to ICD-9-CM 54.95 (Incision of peritoneum).