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ICD-10-PCS 2027 procedure code

0UPD40ZRemoval of Drainage Device from Uterus and Cervix, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedureFemale only

Short description: Remove of Drain Dev from Uterus & Cervix, 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 0UPD40Z

0UPD40Z is the ICD-10-PCS code for a removal procedure on the uterus and cervix using a percutaneous endoscopic approach with drainage device. In ICD-10-PCS, removal means taking out or off a device from a body part.

In plain terms, this corresponds to Hysterotomy and incision of cervix, the ICD-9-CM procedure titles it maps to (68.0 and 69.95).

For a different body part, codes include 0UP340Z (ovary), 0UP840Z (fallopian tube) and 0UPH40Z (vagina and cul-de-sac).

The same procedure with a different approach is coded 0UPD00Z (open), 0UPD30Z (percutaneous), 0UPD70Z (via natural or artificial opening), 0UPD80Z (via natural or artificial opening endoscopic) and 0UPDX0Z (external).

With a different device, use 0UPD41Z (radioactive element), 0UPD43Z (infusion device), 0UPD47Z (autologous tissue substitute), 0UPD4CZ (extraluminal device), 0UPD4DZ (intraluminal device), 0UPD4HZ (contraceptive device) and 3 more.

It is an operating-room procedure in the MS-DRG logic for DRG 731 (Uterine and Adnexa Procedures for Malignancy with MCC), DRG 732 (Uterine and Adnexa Procedures for Malignancy with CC), DRG 733 (Uterine and Adnexa Procedures for Malignancy without CC/MCC), DRG 742 (Uterine and Adnexa Procedures for Non-Malignancy with CC/MCC), DRG 743 (Uterine and Adnexa Procedures for Non-Malignancy without CC/MCC) and DRG 907 (Other O.R. Procedures for Injuries with MCC), under the surgical categories “Uterine and Adnexa Procedures for Malignancy”, “Uterine and Adnexa Procedures for Non-Malignancy”, “Other O.R. Procedures for Injuries” and 1 more.

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
UFemale Reproductive System
3. Operation
PRemoval

Taking out or off a device from a body part

If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL

Includes: Drainage tube removal, cardiac pacemaker removal

4. Body Part
DUterus and Cervix
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.

MDC 13 · Diseases and Disorders of the Female Reproductive System · Uterine and Adnexa Procedures for Non-Malignancy

ICD-9-CM equivalent

Converter →
  • 68.0Hysterotomyapproximate
  • 69.95Incision of cervixapproximate

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 0UPD40Z

Is 0UPD40Z a valid ICD-10-PCS code for 2027?

Yes. 0UPD40Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0UPD40Z an O.R. procedure?

Yes. 0UPD40Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0UPD40Z group to?

Depending on the principal diagnosis, 0UPD40Z can group to MS-DRG 731, MS-DRG 732, MS-DRG 733, MS-DRG 742, MS-DRG 743 and MS-DRG 907.

What is the ICD-9 procedure code for 0UPD40Z?

The CMS GEMs map 0UPD40Z to ICD-9-CM 68.0 (Hysterotomy) and 69.95 (Incision of cervix).