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ICD-10-PCS 2027 procedure code

3E1H78ZIrrigation of Lower GI using Irrigating Substance, Via Natural or Artificial Opening

✓ Valid for 2027

Short description: Irrigation of Lower GI using Irrigat, Via Opening

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 3E1H78Z

3E1H78Z is the ICD-10-PCS code for a irrigation procedure on the lower GI using a via natural or artificial opening approach with irrigating substance. In ICD-10-PCS, irrigation means putting in or on a cleansing substance.

In plain terms, this corresponds to irrigation of gastrostomy or enterostomy, removal of impacted feces and other transanal enema, the ICD-9-CM procedure titles it maps to (96.36, 96.38 and 96.39).

For a different body part, codes include 3E1978Z (nose), 3E1B78Z (ear), 3E1F78Z (respiratory tract), 3E1G78Z (upper GI), 3E1J78Z (biliary and pancreatic tract), 3E1K78Z (genitourinary tract) and 2 more.

The same procedure with a different approach is coded 3E1H38Z (percutaneous) and 3E1H88Z (via natural or artificial opening endoscopic).

It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.

It has been valid since ICD-10-PCS took effect on October 1, 2015.

What each character means

1. Section
3Administration
2. Body System
EPhysiological Systems and Anatomical Regions
3. Operation
1Irrigation

Putting in or on a cleansing substance

4. Body System / Region
HLower GI
5. Approach
7Via Natural or Artificial Opening

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

6. Substance
8Irrigating Substance
7. Qualifier
ZNo Qualifier

Other versions of this procedure

Different qualifier

ICD-9-CM equivalent

Converter →
  • 96.36Irrigation of gastrostomy or enterostomyapproximate
  • 96.38Removal of impacted fecesapproximate
  • 96.39Other transanal enemaapproximate

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 3E1H78Z

Is 3E1H78Z a valid ICD-10-PCS code for 2027?

Yes. 3E1H78Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 3E1H78Z?

The CMS GEMs map 3E1H78Z to ICD-9-CM 96.36 (Irrigation of gastrostomy or enterostomy), 96.38 (Removal of impacted feces) and 96.39 (Other transanal enema).