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Inpatient Procedure Code

0W9H40Z

Drainage of Retroperitoneum with Drainage Device, Percutaneous Endoscopic Approach

Drain of Retroperitoneum with Drain Dev, Perc Endo 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 SystemW

Anatomical Regions, General

3
Root Operation9

Drainage

Taking or letting out fluids and/or gases from a body part

4
Body PartH

Retroperitoneum

5
Approach4

Percutaneous Endoscopic

6
Device0

Drainage Device

7
QualifierZ

No Qualifier

Potential MS-DRG Relationships (FY2026)

The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 22 MS-DRGs:

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

Contextual Map

Every relationship of 0W9H40Z 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.

PCS table

  • 0W9[PCS table]
  • [object Object] — Section: [object Object] [Section]: “[object Object]”
  • [object Object] — Body System: [object Object] [Body System]: “[object Object]”
  • [object Object] — Operation: [object Object] [Operation]: “[object Object]”

MS-DRG participation (22)

  • DRG 264 — OTHER CIRCULATORY SYSTEM O.R. PROCEDURES [MS-DRG]: “OTHER CIRCULATORY SYSTEM O.R. PROCEDURES — Other Circulatory System O.R. Procedures (MDC 05)”
  • 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)”
  • 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)”
  • 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)”
  • 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)”
  • 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)”
  • 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)”
  • DRG 579 — OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC [MS-DRG]: “OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC — Other Skin, Subcutaneous Tissue and Breast Procedures (MDC 09)”
  • and 14 more

MDC crossing · diagnoses (8778)

  • 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.”
  • 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.”
  • A36.81 — Diphtheritic cardiomyopathy [Same-MDC diagnosis]: “Diphtheritic cardiomyopathy — grouped in MDC 05, the diagnosis side of this code's crossing.” · check together
  • A39.50 — Meningococcal carditis, unspecified [Same-MDC diagnosis]: “Meningococcal carditis, unspecified — grouped in MDC 05, the diagnosis side of this code's crossing.” · check together
  • A39.51 — Meningococcal endocarditis [Same-MDC diagnosis]: “Meningococcal endocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.” · check together
  • A39.52 — Meningococcal myocarditis [Same-MDC diagnosis]: “Meningococcal myocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.” · check together
  • A39.53 — Meningococcal pericarditis [Same-MDC diagnosis]: “Meningococcal pericarditis — grouped in MDC 05, the diagnosis side of this code's crossing.” · check together
  • and 8773 more

Nearest codes

  • 0W9040Z — Drainage of Head with Drainage Device, Percutaneous Endoscopic Approach [One axis away]
  • 0W9140Z — Drainage of Cranial Cavity with Drainage Device, Percutaneous Endoscopic Approach [One axis away]
  • 0W9240Z — Drainage of Face with Drainage Device, Percutaneous Endoscopic Approach [One axis away]
  • 0W9340Z — Drainage of Oral Cavity and Throat with Drainage Device, Percutaneous Endoscopic Approach [One axis away]
  • 0W9440Z — Drainage of Upper Jaw with Drainage Device, Percutaneous Endoscopic Approach [One axis away]
  • 0W9540Z — Drainage of Lower Jaw with Drainage Device, Percutaneous Endoscopic Approach [One axis away]
  • 0W9640Z — Drainage of Neck with Drainage Device, Percutaneous Endoscopic Approach [One axis away]
  • 0W9840Z — Drainage of Chest Wall with Drainage Device, Percutaneous Endoscopic Approach [One axis away]

Change history

No changes recorded for this code — unchanged since the FY2026 (April) baseline of the change ledger.