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ICD-10-PCS 2027 procedure code

0USG4ZZReposition Vagina, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedureFemale only

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 0USG4ZZ

0USG4ZZ is the ICD-10-PCS code for a reposition procedure on the vagina using a percutaneous endoscopic approach. In ICD-10-PCS, reposition means moving to its normal location, or other suitable location, all or a portion of a body part.

In plain terms, this corresponds to vaginal suspension and fixation, the ICD-9-CM procedure title it maps to (70.77).

For a different body part, codes include 0US04ZZ (right ovary), 0US14ZZ (left ovary), 0US24ZZ (bilateral ovaries), 0US44ZZ (uterine supporting structure), 0US54ZZ (right fallopian tube), 0US64ZZ (left fallopian tube) and 4 more.

The same procedure with a different approach is coded 0USG0ZZ (open), 0USG7ZZ (via natural or artificial opening), 0USG8ZZ (via natural or artificial opening endoscopic) and 0USGXZZ (external).

It is an operating-room procedure in the MS-DRG logic for DRG 662 (Minor Bladder Procedures with MCC), DRG 663 (Minor Bladder Procedures with CC), DRG 664 (Minor Bladder Procedures without CC/MCC) and DRG 748 (Female Reproductive System Reconstructive Procedures), under the surgical categories “Minor Bladder Procedures” and “Female Reproductive System Reconstructive 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
UFemale Reproductive System
3. Operation
SReposition

Moving to its normal location, or other suitable location, all or a portion of a body part

The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning correctly. The body part may or may not be cut out or off to be moved to the new location

Includes: Reposition of undescended testicle, fracture reduction

4. Body Part
GVagina
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
ZNo Device
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 · Female Reproductive System Reconstructive Procedures

ICD-9-CM equivalent

Converter →
  • 70.77Vaginal suspension and fixationapproximate

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 0USG4ZZ

Is 0USG4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0USG4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0USG4ZZ an O.R. procedure?

Yes. 0USG4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0USG4ZZ group to?

Depending on the principal diagnosis, 0USG4ZZ can group to MS-DRG 662, MS-DRG 663, MS-DRG 664 and MS-DRG 748.

What is the ICD-9 procedure code for 0USG4ZZ?

The CMS GEMs map 0USG4ZZ to ICD-9-CM 70.77 (Vaginal suspension and fixation).