0D5J4ZZ ICD-10-PCS Code: Destruction of Appendix, Percutaneous Endoscopic Approach

MS-DRG Grouper Relationships (FY2026)

Potential MS-DRG participation — not a DRG assignment.

The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 3 MS-DRGs:

• MDC 06 — Appendix Procedures: DRG 397, DRG 398, DRG 399

From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.

Related Codes

Same operation — other Body Part

Same table and root operation, differing only in the body part character.

0D5E4ZZ — Destruction of Large Intestine, Percutaneous Endoscopic Approach, 0D5F4ZZ — Destruction of Right Large Intestine, Percutaneous Endoscopic Approach, 0D5G4ZZ — Destruction of Left Large Intestine, Percutaneous Endoscopic Approach, 0D5H4ZZ — Destruction of Cecum, Percutaneous Endoscopic Approach, 0D5K4ZZ — Destruction of Ascending Colon, Percutaneous Endoscopic Approach, 0D5L4ZZ — Destruction of Transverse Colon, Percutaneous Endoscopic Approach, 0D5M4ZZ — Destruction of Descending Colon, Percutaneous Endoscopic Approach, 0D5N4ZZ — Destruction of Sigmoid Colon, Percutaneous Endoscopic Approach, +18 more

Same operation — other Approach

Same table and root operation, differing only in the approach character.

0D5J0ZZ — Destruction of Appendix, Open Approach, 0D5J3ZZ — Destruction of Appendix, Percutaneous Approach, 0D5J7ZZ — Destruction of Appendix, Via Natural or Artificial Opening, 0D5J8ZZ — Destruction of Appendix, Via Natural or Artificial Opening Endoscopic

Same operation — other Qualifier

Same table and root operation, differing only in the qualifier character.

0D5J4Z3 — Destruction of Appendix using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach

Same procedure category (CCSR), other tables

AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Colectomy (Gastrointestinal System Procedures); listed here are the members in other PCS tables. Source: Clinical Classifications Software Refined (CCSR), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, November 2025.

0DBC0ZZ — Excision of Ileocecal Valve, Open Approach, 0DBC4ZZ — Excision of Ileocecal Valve, Percutaneous Endoscopic Approach, 0DBE0ZZ — Excision of Large Intestine, Open Approach, 0DBE4ZZ — Excision of Large Intestine, Percutaneous Endoscopic Approach, 0DBF0ZZ — Excision of Right Large Intestine, Open Approach, 0DBF4ZG — Excision of Right Large Intestine, Percutaneous Endoscopic Approach, Hand-Assisted, 0DBF4ZZ — Excision of Right Large Intestine, Percutaneous Endoscopic Approach, 0DBG0ZZ — Excision of Left Large Intestine, Open Approach, 0DBG4ZG — Excision of Left Large Intestine, Percutaneous Endoscopic Approach, Hand-Assisted, 0DBG4ZZ — Excision of Left Large Intestine, Percutaneous Endoscopic Approach, 0DBGFZZ — Excision of Left Large Intestine, Via Natural or Artificial Opening With Percutaneous Endoscopic Assistance, 0DBH0ZZ — Excision of Cecum, Open Approach, 0DBH4ZZ — Excision of Cecum, Percutaneous Endoscopic Approach, 0DBJ0ZZ — Excision of Appendix, Open Approach, 0DBJ4ZG — Excision of Appendix, Percutaneous Endoscopic Approach, Hand-Assisted, 0DBJ4ZZ — Excision of Appendix, Percutaneous Endoscopic Approach, 0DBK0ZZ — Excision of Ascending Colon, Open Approach, 0DBK4ZZ — Excision of Ascending Colon, Percutaneous Endoscopic Approach, 0DBL0ZZ — Excision of Transverse Colon, Open Approach, 0DBL4ZG — Excision of Transverse Colon, Percutaneous Endoscopic Approach, Hand-Assisted, +37 more

Contextual Map

Every relationship of 0D5J4ZZ in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run 0D5J4ZZ with these 5 related codes in Claim Check

PCS table

• 0D5[PCS table]— CMS ICD-10-PCS tables
• Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
• Gastrointestinal System — Body System: Gastrointestinal System[Body System]: “Gastrointestinal System”— CMS ICD-10-PCS tables
• Destruction — Operation: Destruction[Operation]: “Destruction”— CMS ICD-10-PCS tables

MS-DRG participation

• DRG 397 — APPENDIX PROCEDURES WITH MCC[MS-DRG]: “APPENDIX PROCEDURES WITH MCC — Appendix Procedures (MDC 06)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 398 — APPENDIX PROCEDURES WITH CC[MS-DRG]: “APPENDIX PROCEDURES WITH CC — Appendix Procedures (MDC 06)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 399 — APPENDIX PROCEDURES WITHOUT CC/MCC[MS-DRG]: “APPENDIX PROCEDURES WITHOUT CC/MCC — Appendix Procedures (MDC 06)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026

Clinical classification (CCSR)

• GIS009 — Colectomy[CCSR category]: “Colectomy — Gastrointestinal System Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1

MDC crossing · diagnoses (1195)

• MDC 06 — Diseases and Disorders of the Digestive System[MDC crossing]: “Diseases and Disorders of the Digestive System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2026
• A00.0 — Cholera due to Vibrio cholerae 01, biovar cholerae[Same-MDC diagnosis]: “Cholera due to Vibrio cholerae 01, biovar cholerae — grouped in MDC 06, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• A00.1 — Cholera due to Vibrio cholerae 01, biovar eltor[Same-MDC diagnosis]: “Cholera due to Vibrio cholerae 01, biovar eltor — grouped in MDC 06, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• A00.9 — Cholera, unspecified[Same-MDC diagnosis]: “Cholera, unspecified — grouped in MDC 06, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• A02.0 — Salmonella enteritis[Same-MDC diagnosis]: “Salmonella enteritis — grouped in MDC 06, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• A03.0 — Shigellosis due to Shigella dysenteriae[Same-MDC diagnosis]: “Shigellosis due to Shigella dysenteriae — grouped in MDC 06, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• and 1190 more

Nearest codes

• 0D514ZZ — Destruction of Upper Esophagus, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 0D524ZZ — Destruction of Middle Esophagus, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 0D534ZZ — Destruction of Lower Esophagus, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 0D544ZZ — Destruction of Esophagogastric Junction, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 0D554ZZ — Destruction of Esophagus, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 0D564ZZ — Destruction of Stomach, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 0D574ZZ — Destruction of Stomach, Pylorus, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 0D584ZZ — Destruction of Small Intestine, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables