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Inpatient Procedure Code

0D5W4ZZ ICD-10-PCS Code: Destruction of Peritoneum, Percutaneous Endoscopic Approach

Axis Breakdown

Every ICD-10-PCS code is exactly seven characters, one per axis. Each character's meaning is defined by its position in the code.

PositionValueMeaning
1
Section0

Medical and Surgical

2
Body SystemD

Gastrointestinal System

3
Root Operation5

Destruction

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

4
Body PartW

Peritoneum

5
Approach4

Percutaneous Endoscopic

6
DeviceZ

No Device

7
QualifierZ

No Qualifier

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 17 MS-DRGs:

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.

0D5L4ZZ — Destruction of Transverse Colon, Percutaneous Endoscopic Approach, 0D5M4ZZ — Destruction of Descending Colon, Percutaneous Endoscopic Approach, 0D5N4ZZ — Destruction of Sigmoid Colon, Percutaneous Endoscopic Approach, 0D5P4ZZ — Destruction of Rectum, Percutaneous Endoscopic Approach, 0D5Q4ZZ — Destruction of Anus, Percutaneous Endoscopic Approach, 0D5R4ZZ — Destruction of Anal Sphincter, Percutaneous Endoscopic Approach, 0D5U4ZZ — Destruction of Omentum, Percutaneous Endoscopic Approach, 0D5V4ZZ — Destruction of Mesentery, Percutaneous Endoscopic Approach, +18 more

Same operation — other Approach

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

0D5W0ZZ — Destruction of Peritoneum, Open Approach, 0D5W3ZZ — Destruction of Peritoneum, Percutaneous Approach

Same procedure category (CCSR), other tables

AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Omentectomy or peritoneum resection (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.

0DBU0ZZ — Excision of Omentum, Open Approach, 0DBU4ZZ — Excision of Omentum, Percutaneous Endoscopic Approach, 0DBV0ZZ — Excision of Mesentery, Open Approach, 0DBV4ZZ — Excision of Mesentery, Percutaneous Endoscopic Approach, 0DBW0ZZ — Excision of Peritoneum, Open Approach, 0DBW4ZZ — Excision of Peritoneum, Percutaneous Endoscopic Approach, 0DTU0ZZ — Resection of Omentum, Open Approach, 0DTU4ZZ — Resection of Omentum, Percutaneous Endoscopic Approach

Contextual Map

Every relationship of 0D5W4ZZ 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 0D5W4ZZ with these 5 related codes in Claim Check

PCS table

MS-DRG participation (17)

Clinical classification (CCSR)

MDC crossing · diagnoses (2126)

  • 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
  • MDC 07 — Diseases and Disorders of the Hepatobiliary System and Pancreas[MDC crossing]: “Diseases and Disorders of the Hepatobiliary System and Pancreas — 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 2121 more

Nearest codes

Change history

No changes recorded for this code. This ledger tracks additions, deletions and description changes from FY2026 (April) onward. Note changes are not tracked.

Read from: CMS ICD-10-PCS code tables, index and definitions — FY2026 (April); CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43; AHRQ HCUP Clinical Classifications Software Refined for ICD-10-PCS Procedures (hcup-us.ahrq.gov/toolssoftware/ccsr/PRCCSR_v2026-1.zip) — v2026.1. All data sources · How to read the labels