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ICD-10-PCS 2027 procedure code

0D5J4ZZDestruction of Appendix, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

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 0D5J4ZZ

0D5J4ZZ is the ICD-10-PCS code for a destruction procedure on the appendix using a percutaneous endoscopic approach. In ICD-10-PCS, destruction means physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent.

In plain terms, this corresponds to other operations on appendix, the ICD-9-CM procedure title it maps to (47.99).

For a different body part, codes include 0D514ZZ (esophagus, upper), 0D524ZZ (esophagus, middle), 0D534ZZ (esophagus, lower), 0D544ZZ (esophagogastric junction), 0D554ZZ (esophagus), 0D564ZZ (stomach) and 20 more.

The same procedure with a different approach is coded 0D5J0ZZ (open), 0D5J3ZZ (percutaneous), 0D5J7ZZ (via natural or artificial opening) and 0D5J8ZZ (via natural or artificial opening endoscopic).

It is an operating-room procedure in the MS-DRG logic for DRG 397 (Appendix Procedures with MCC), DRG 398 (Appendix Procedures with CC) and DRG 399 (Appendix Procedures without CC/MCC), under the surgical category “Appendix 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
5Destruction

Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent

None of the body part is physically taken out

Includes: Fulguration of rectal polyp, cautery of skin lesion

4. Body Part
JAppendix

Includes: Appendiceal orifice; Vermiform appendix

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.

ICD-9-CM equivalent

Converter →
  • 47.99Other operations on appendixapproximate

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 0D5J4ZZ

Is 0D5J4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0D5J4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0D5J4ZZ an O.R. procedure?

Yes. 0D5J4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0D5J4ZZ group to?

Depending on the principal diagnosis, 0D5J4ZZ can group to MS-DRG 397, MS-DRG 398 and MS-DRG 399.

What is the ICD-9 procedure code for 0D5J4ZZ?

The CMS GEMs map 0D5J4ZZ to ICD-9-CM 47.99 (Other operations on appendix).