0DRU0JZ ICD-10-PCS Code: Replacement of Omentum with Synthetic Substitute, Open Approach
Replacement of Omentum with Synth Sub, Open 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.
| Position | Value | Meaning |
|---|---|---|
| 1 | Section0 | Medical and Surgical |
| 2 | Body SystemD | Gastrointestinal System |
| 3 | Root OperationR | Replacement Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part |
| 4 | Body PartU | Omentum |
| 5 | Approach0 | Open |
| 6 | DeviceJ | Synthetic Substitute |
| 7 | QualifierZ | No Qualifier |
MS-DRG Grouper Relationships (FY2027)
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 18 MS-DRGs:
- MDC 06 — Other Digestive System O.R. Procedures: DRG 356, DRG 357, DRG 358
- MDC 07 — Other Hepatobiliary or Pancreas O.R. Procedures: DRG 423, DRG 424, DRG 425
- MDC 17 — Lymphoma and Leukemia with Major O.R. Procedures: DRG 820, DRG 821, DRG 822
- MDC 17 — Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures: DRG 826, DRG 827, DRG 828
- MDC 21 — Other O.R. Procedures for Injuries: DRG 907, DRG 908, DRG 909
- MDC 24 — Other O.R. Procedures for Multiple Significant Trauma: DRG 957, DRG 958, DRG 959
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.
0DR50JZ — Replacement of Esophagus with Synthetic Substitute, Open Approach, 0DRR0JZ — Replacement of Anal Sphincter with Synthetic Substitute, Open Approach, 0DRV0JZ — Replacement of Mesentery with Synthetic Substitute, Open Approach, 0DRW0JZ — Replacement of Peritoneum with Synthetic Substitute, Open Approach
Same operation — other Approach
Same table and root operation, differing only in the approach character.
0DRU4JZ — Replacement of Omentum with Synthetic Substitute, Percutaneous Endoscopic Approach
Same operation — other Device
Same table and root operation, differing only in the device character.
0DRU07Z — Replacement of Omentum with Autologous Tissue Substitute, Open Approach, 0DRU0KZ — Replacement of Omentum with Nonautologous Tissue Substitute, Open Approach
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under GI system repair (excluding anorectal) (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.
0DQN8ZZ — Repair Sigmoid Colon, Via Natural or Artificial Opening Endoscopic, 0DQU0ZZ — Repair Omentum, Open Approach, 0DQU3ZZ — Repair Omentum, Percutaneous Approach, 0DQU4ZZ — Repair Omentum, Percutaneous Endoscopic Approach, 0DQV0ZZ — Repair Mesentery, Open Approach, 0DQV3ZZ — Repair Mesentery, Percutaneous Approach, 0DQV4ZZ — Repair Mesentery, Percutaneous Endoscopic Approach, 0DQW0ZZ — Repair Peritoneum, Open Approach, 0DQW3ZZ — Repair Peritoneum, Percutaneous Approach, 0DQW4ZZ — Repair Peritoneum, Percutaneous Endoscopic Approach, 0DU107Z — Supplement Upper Esophagus with Autologous Tissue Substitute, Open Approach, 0DU10JZ — Supplement Upper Esophagus with Synthetic Substitute, Open Approach, 0DU10KZ — Supplement Upper Esophagus with Nonautologous Tissue Substitute, Open Approach, 0DU147Z — Supplement Upper Esophagus with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 0DU14JZ — Supplement Upper Esophagus with Synthetic Substitute, Percutaneous Endoscopic Approach, 0DU14KZ — Supplement Upper Esophagus with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 0DU177Z — Supplement Upper Esophagus with Autologous Tissue Substitute, Via Natural or Artificial Opening, 0DU17JZ — Supplement Upper Esophagus with Synthetic Substitute, Via Natural or Artificial Opening, 0DU17KZ — Supplement Upper Esophagus with Nonautologous Tissue Substitute, Via Natural or Artificial Opening, 0DU187Z — Supplement Upper Esophagus with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic, +385 more
Contextual Map
Every relationship of 0DRU0JZ 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 0DRU0JZ with these 5 related codes in Claim Check
PCS table
- 0DR[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
- Replacement — Operation: Replacement[Operation]: “Replacement”— CMS ICD-10-PCS tables
MS-DRG participation (18)
- DRG 356 — OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC[MS-DRG]: “OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC — Other Digestive System O.R. Procedures (MDC 06)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 357 — OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC[MS-DRG]: “OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC — Other Digestive System O.R. Procedures (MDC 06)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 358 — OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC[MS-DRG]: “OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC — Other Digestive System O.R. Procedures (MDC 06)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 423 — OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC[MS-DRG]: “OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC — Other Hepatobiliary or Pancreas O.R. Procedures (MDC 07)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 424 — OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC[MS-DRG]: “OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC — Other Hepatobiliary or Pancreas O.R. Procedures (MDC 07)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 425 — OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC[MS-DRG]: “OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC — Other Hepatobiliary or Pancreas O.R. Procedures (MDC 07)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 820 — LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC[MS-DRG]: “LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC — Lymphoma and Leukemia with Major O.R. Procedures (MDC 17)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 821 — LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC[MS-DRG]: “LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC — Lymphoma and Leukemia with Major O.R. Procedures (MDC 17)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- and 10 more
Clinical classification (CCSR)
- GIS021 — GI system repair (excluding anorectal)[CCSR category]: “GI system repair (excluding anorectal) — Gastrointestinal System Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
MDC crossing · diagnoses (2165)
- 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 · FY2027
- 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 · FY2027
- 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) · FY2027
- 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) · FY2027
- 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) · FY2027
- 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) · FY2027
- 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) · FY2027
- and 2160 more
Nearest codes
- 0DR50JZ — Replacement of Esophagus with Synthetic Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0DRR0JZ — Replacement of Anal Sphincter with Synthetic Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0DRU07Z — Replacement of Omentum with Autologous Tissue Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0DRU0KZ — Replacement of Omentum with Nonautologous Tissue Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0DRU4JZ — Replacement of Omentum with Synthetic Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0DRV0JZ — Replacement of Mesentery with Synthetic Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0DRW0JZ — Replacement of Peritoneum with Synthetic Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
Change history
- FY2018 — Added to the code set[Change history]— CMS release files (code change ledger) · icd10pcs-fy2018
Change history
- FY2018 — October 1, 2017Added to the code setReplacement of Omentum with Synthetic Substitute, Open ApproachFY2018 changes
Read from: CMS ICD-10-PCS code tables, index and definitions — FY2027; CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44; 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 · How MedCoder verifies its implementation
Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources