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ICD-10-PCS 2027 procedure code

0DV43ZZRestriction of Esophagogastric Junction, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Short description: Restriction of Esophagogastric Junction, Perc 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 0DV43ZZ

0DV43ZZ is the ICD-10-PCS code for a restriction procedure on the esophagogastric junction using a percutaneous approach. In ICD-10-PCS, restriction means partially closing an orifice or the lumen of a tubular body part.

In plain terms, this corresponds to other procedures for creation of esophagogastric sphincteric competence, the ICD-9-CM procedure title it maps to (44.66).

For a different body part, codes include 0DV13ZZ (esophagus, upper), 0DV23ZZ (esophagus, middle), 0DV33ZZ (esophagus, lower), 0DV53ZZ (esophagus), 0DV63ZZ (stomach), 0DV73ZZ (stomach, pylorus) and 15 more.

The same procedure with a different approach is coded 0DV40ZZ (open), 0DV44ZZ (percutaneous endoscopic), 0DV47ZZ (via natural or artificial opening) and 0DV48ZZ (via natural or artificial opening endoscopic).

With a different device, use 0DV43CZ (extraluminal device) and 0DV43DZ (intraluminal device).

It is an operating-room procedure in the MS-DRG logic for DRG 326 (Stomach, Esophageal and Duodenal Procedures with MCC), DRG 327 (Stomach, Esophageal and Duodenal Procedures with CC), DRG 328 (Stomach, Esophageal and Duodenal 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 “Stomach, Esophageal and Duodenal 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
VRestriction

Partially closing an orifice or the lumen of a tubular body part

The orifice can be a natural orifice or an artificially created orifice

Includes: Esophagogastric fundoplication, cervical cerclage

4. Body Part
4Esophagogastric Junction

Includes: Cardia; Cardioesophageal junction; Gastroesophageal (GE) junction

5. Approach
3Percutaneous

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach 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 →
  • 44.66Other procedures for creation of esophagogastric sphincteric competenceapproximate

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 0DV43ZZ

Is 0DV43ZZ a valid ICD-10-PCS code for 2027?

Yes. 0DV43ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DV43ZZ an O.R. procedure?

Yes. 0DV43ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DV43ZZ group to?

Depending on the principal diagnosis, 0DV43ZZ can group to MS-DRG 326, MS-DRG 327, MS-DRG 328, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0DV43ZZ?

The CMS GEMs map 0DV43ZZ to ICD-9-CM 44.66 (Other procedures for creation of esophagogastric sphincteric competence).