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ICD-10-PCS 2027 procedure code

10D18Z9Manual Extraction of Products of Conception, Retained, Via Natural or Artificial Opening Endoscopic

✓ Valid for 2027O.R. procedureFemale only

Short description: Manual Extraction of Products of Conception, Retained, Endo

Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 10D18Z9

10D18Z9 is the ICD-10-PCS code for a extraction procedure on the products of conception, retained using a via natural or artificial opening endoscopic approach (qualifier: manual). In ICD-10-PCS, extraction means pulling or stripping out or off all or a portion of a body part by the use of force.

In plain terms, this corresponds to manual removal of retained placenta, the ICD-9-CM procedure title it maps to (75.4).

The same procedure with a different approach is coded 10D17Z9 (via natural or artificial opening).

It is an operating-room procedure in the MS-DRG logic for DRG 768 (Vaginal Delivery with O.R. Procedures Except Sterilization and/or D&C), DRG 796 (Vaginal Delivery with Sterilization and/or D&C with MCC), DRG 797 (Vaginal Delivery with Sterilization and/or D&C with CC), DRG 798 (Vaginal Delivery with Sterilization and/or D&C without CC/MCC), DRG 805 (Vaginal Delivery without Sterilization or D&C with MCC) and DRG 806 (Vaginal Delivery without Sterilization or D&C with CC), under the surgical categories “Vaginal Delivery with O.R. Procedures Except Sterilization and/or D&C”, “Vaginal Delivery with Sterilization and/or D&C” and “Vaginal Delivery without Sterilization or D&C”.

It was added in FY2018, effective October 1, 2017.

What each character means

1. Section
1Obstetrics
2. Body System
0Pregnancy
3. Operation
DExtraction

Pulling or stripping out or off all or a portion of a body part by the use of force

4. Body Part
1Products of Conception, Retained
5. Approach
8Via Natural or Artificial Opening Endoscopic

Entry of instrumentation through a natural or artificial external opening to reach and visualize the site of the procedure

6. Device
ZNo Device
7. Qualifier
9Manual

Other versions of this procedure

Different qualifier

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

MDC 14 · Pregnancy, Childbirth and the Puerperium · Vaginal Delivery with O.R. Procedures Except Sterilization and/or D&C

ICD-9-CM equivalent

Converter →
  • 75.4Manual removal of retained placentaapproximate

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
  • FY2018 (effective 10/1/2017): Added
  • No changes since FY2018.

Common questions about 10D18Z9

Is 10D18Z9 a valid ICD-10-PCS code for 2027?

Yes. 10D18Z9 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 10D18Z9 an O.R. procedure?

Yes. 10D18Z9 is an O.R. procedure in MS-DRG v44.0.

What DRG does 10D18Z9 group to?

Depending on the principal diagnosis, 10D18Z9 can group to MS-DRG 768, MS-DRG 796, MS-DRG 797, MS-DRG 798, MS-DRG 805 and MS-DRG 806.

What is the ICD-9 procedure code for 10D18Z9?

The CMS GEMs map 10D18Z9 to ICD-9-CM 75.4 (Manual removal of retained placenta).