0DT90ZZ ICD-10-PCS Code: Resection of Duodenum, Open 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 19 MS-DRGs:

• MDC 05 — Other Circulatory System O.R. Procedures: DRG 264
• MDC 06 — Major Small and Large Bowel Procedures: DRG 329, DRG 330, DRG 331
• MDC 10 — Other Endocrine, Nutritional and Metabolic O.R. Procedures: DRG 628, DRG 629, DRG 630
• 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.

0DT50ZZ — Resection of Esophagus, Open Approach, 0DT60ZZ — Resection of Stomach, Open Approach, 0DT70ZZ — Resection of Stomach, Pylorus, Open Approach, 0DT80ZZ — Resection of Small Intestine, Open Approach, 0DTA0ZZ — Resection of Jejunum, Open Approach, 0DTB0ZZ — Resection of Ileum, Open Approach, 0DTC0ZZ — Resection of Ileocecal Valve, Open Approach, 0DTE0ZZ — Resection of Large Intestine, Open Approach, +16 more

Same operation — other Approach

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

0DT94ZZ — Resection of Duodenum, Percutaneous Endoscopic Approach, 0DT97ZZ — Resection of Duodenum, Via Natural or Artificial Opening, 0DT98ZZ — Resection of Duodenum, Via Natural or Artificial Opening Endoscopic

Same procedure category (CCSR), other tables

AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Duodenal 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.

0D590Z3 — Destruction of Duodenum using Laser Interstitial Thermal Therapy, Open Approach, 0D590ZZ — Destruction of Duodenum, Open Approach, 0D594Z3 — Destruction of Duodenum using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach, 0D594ZZ — Destruction of Duodenum, Percutaneous Endoscopic Approach, 0DB90ZZ — Excision of Duodenum, Open Approach, 0DB94ZZ — Excision of Duodenum, Percutaneous Endoscopic Approach

Contextual Map

Every relationship of 0DT90ZZ 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 0DT90ZZ with these 5 related codes in Claim Check

PCS table

• 0DT[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
• Resection — Operation: Resection[Operation]: “Resection”— CMS ICD-10-PCS tables

MS-DRG participation (19)

• DRG 264 — OTHER CIRCULATORY SYSTEM O.R. PROCEDURES[MS-DRG]: “OTHER CIRCULATORY SYSTEM O.R. PROCEDURES — Other Circulatory System O.R. Procedures (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 329 — MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC[MS-DRG]: “MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC — Major Small and Large Bowel Procedures (MDC 06)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 330 — MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC[MS-DRG]: “MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC — Major Small and Large Bowel Procedures (MDC 06)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 331 — MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC[MS-DRG]: “MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC — Major Small and Large Bowel Procedures (MDC 06)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 628 — OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC[MS-DRG]: “OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC — Other Endocrine, Nutritional and Metabolic O.R. Procedures (MDC 10)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 629 — OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC[MS-DRG]: “OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC — Other Endocrine, Nutritional and Metabolic O.R. Procedures (MDC 10)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 630 — OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC[MS-DRG]: “OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC — Other Endocrine, Nutritional and Metabolic O.R. Procedures (MDC 10)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• 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) · FY2026
• and 11 more

Clinical classification (CCSR)

• GIS012 — Duodenal resection[CCSR category]: “Duodenal resection — Gastrointestinal System Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1

MDC crossing · diagnoses (4337)

• MDC 05 — Diseases and Disorders of the Circulatory System[MDC crossing]: “Diseases and Disorders of the Circulatory 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 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
• A36.81 — Diphtheritic cardiomyopathy[Same-MDC diagnosis]: “Diphtheritic cardiomyopathy — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• A39.50 — Meningococcal carditis, unspecified[Same-MDC diagnosis]: “Meningococcal carditis, unspecified — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• A39.51 — Meningococcal endocarditis[Same-MDC diagnosis]: “Meningococcal endocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• A39.52 — Meningococcal myocarditis[Same-MDC diagnosis]: “Meningococcal myocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• A39.53 — Meningococcal pericarditis[Same-MDC diagnosis]: “Meningococcal pericarditis — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• and 4332 more

Nearest codes

• 0DT10ZZ — Resection of Upper Esophagus, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 0DT20ZZ — Resection of Middle Esophagus, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 0DT30ZZ — Resection of Lower Esophagus, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 0DT40ZZ — Resection of Esophagogastric Junction, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 0DT50ZZ — Resection of Esophagus, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 0DT60ZZ — Resection of Stomach, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 0DT70ZZ — Resection of Stomach, Pylorus, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 0DT80ZZ — Resection of Small Intestine, Open Approach[One axis away]— CMS ICD-10-PCS tables