ICD-10-PCS Code For Small Intestine: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0D78 includes procedures performed to dilate luminal structures in the small intestine. These ICD-10-PCS codes are used for inpatient documentation when a clinician expands the lumen of the small intestine to relieve obstruction or correct a stricture. Accurate coding within the ICD-10-PCS 0D78 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Small Intestine Dilation Procedure Overview

This procedure group includes dilation of the small intestine within the gastrointestinal system to expand an orifice or the lumen of a tubular body part. Procedures involve mechanically increasing the diameter of a segment of small intestine to relieve obstruction or strictures and restore luminal patency. Accurate coding supports inpatient reimbursement by reflecting the specific root operation and anatomical target and by ensuring clinical documentation aligns with the International Classification of Diseases, Tenth Revision, Procedure Coding System.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
D	Body System	Gastrointestinal System
7	Operation	Dilation
8	Body Part	Small Intestine

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ICD-10-PCS Code For Small Intestine: Procedure Code Group Overview

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Small Intestine Dilation Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
D	Body System	Gastrointestinal System
7	Operation	Dilation
8	Body Part	Small Intestine

When to Use

Use a code from this group when an inpatient procedure specifically involves dilation of the small intestine to treat obstruction, stricture, or narrowed segments. Select the code when documentation clearly indicates the root operation is dilation and the anatomical site is the small intestine.

ICD-10-PCS Codes

10 rows

ICD-10-PCS Code	Description
0D780DZ	Dilation of Small Intestine with Intraluminal Device, Open Approach
0D780ZZ	Dilation of Small Intestine, Open Approach
0D783DZ	Dilation of Small Intestine with Intraluminal Device, Percutaneous Approach
0D783ZZ	Dilation of Small Intestine, Percutaneous Approach
0D784DZ	Dilation of Small Intestine with Intraluminal Device, Percutaneous Endoscopic Approach
0D784ZZ	Dilation of Small Intestine, Percutaneous Endoscopic Approach
0D787DZ	Dilation of Small Intestine with Intraluminal Device, Via Natural or Artificial Opening
0D787ZZ	Dilation of Small Intestine, Via Natural or Artificial Opening
0D788DZ	Dilation of Small Intestine with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
0D788ZZ	Dilation of Small Intestine, Via Natural or Artificial Opening Endoscopic

DRG Codes

3 rows

DRG Code	Description
329	Major Small and Large Bowel Procedures with MCC
330	Major Small and Large Bowel Procedures with CC
331	Major Small and Large Bowel Procedures without CC/MCC

Typical Clinical Scenarios

An elderly patient presents to the hospital with acute small-bowel obstruction secondary to a benign anastomotic stricture after prior bowel surgery. Imaging confirms a localized narrowed segment of jejunum causing proximal dilation and symptoms of vomiting and abdominal pain; endoscopic access is achieved and a balloon dilator is used to mechanically expand the lumen to relieve the obstruction. The procedure is performed percutaneously endoscopic to restore patency and avoid immediate resection. Typical codes: 0D784DZ, 0D784ZZ
A middle-aged patient with Crohn disease and recurrent symptomatic strictures of the proximal small intestine is scheduled for an elective dilation to reduce obstructive symptoms and postpone bowel resection. Under planned percutaneous endoscopic technique, strictured segments are dilated with an intraluminal device during inpatient admission for observation and documentation of response. The goal is controlled mechanical expansion of the bowel lumen to improve passage of intestinal contents. Typical codes: 0D784DZ, 0D784ZZ
A patient develops a tight small-intestine stricture at the site of a recent end-to-end anastomosis, with persistent nausea and failure to advance diet after surgery; initial conservative measures fail and a repeat intervention is required. The team performs dilation through the prior abdominal incision (open approach) using serial dilators to widen the anastomotic lumen and address the postoperative narrowing without creating a new bypass. This is a revision-type procedure to correct postoperative luminal compromise. Typical codes: 0D780DZ, 0D780ZZ

Related Codes

0D71-ESOPHAGUS-UPPER-DILATION

ICD-10-PCS Code For Esophagus, Upper: Procedure Code Group Overview

0D72-ESOPHAGUS-MIDDLE-DILATION

ICD-10-PCS Code for Esophagus, Middle: Procedure Code Group Overview

0D73-ESOPHAGUS-LOWER-DILATION

ICD-10-PCS Code For Esophagus, Lower: Procedure Code Group Overview

0D74-ESOPHAGOGASTRIC-JUNCTION-DILATION

ICD-10-PCS Code For Esophagogastric Junction: Procedure Code Group Overview

0D75-ESOPHAGUS-DILATION

ICD-10-PCS Code For Esophagus: Procedure Code Group Overview

0D76-STOMACH-DILATION

ICD-10-PCS Code For Stomach: Procedure Code Group Overview

0D77-STOMACH-PYLORUS-DILATION

ICD-10-PCS Code For Stomach Pylorus: Procedure Code Group Overview

0D79-DUODENUM-DILATION

ICD-10-PCS Code For Duodenum: Procedure Code Group Overview

0D7A-JEJUNUM-DILATION

ICD-10-PCS Code For Jejunum: Procedure Code Group Overview

0D7B-ILEUM-DILATION

ICD-10-PCS Code For Ileum: Procedure Code Group Overview

Showing 1–10 of 21

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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When to Use

ICD-10-PCS Codes

10 rows

ICD-10-PCS Code	Description
0D780DZ	Dilation of Small Intestine with Intraluminal Device, Open Approach
0D780ZZ	Dilation of Small Intestine, Open Approach
0D783DZ	Dilation of Small Intestine with Intraluminal Device, Percutaneous Approach
0D783ZZ	Dilation of Small Intestine, Percutaneous Approach
0D784DZ	Dilation of Small Intestine with Intraluminal Device, Percutaneous Endoscopic Approach
0D784ZZ	Dilation of Small Intestine, Percutaneous Endoscopic Approach
0D787DZ	Dilation of Small Intestine with Intraluminal Device, Via Natural or Artificial Opening
0D787ZZ	Dilation of Small Intestine, Via Natural or Artificial Opening
0D788DZ	Dilation of Small Intestine with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
0D788ZZ	Dilation of Small Intestine, Via Natural or Artificial Opening Endoscopic

DRG Codes

3 rows

DRG Code	Description
329	Major Small and Large Bowel Procedures with MCC
330	Major Small and Large Bowel Procedures with CC
331	Major Small and Large Bowel Procedures without CC/MCC

Typical Clinical Scenarios

An elderly patient presents to the hospital with acute small-bowel obstruction secondary to a benign anastomotic stricture after prior bowel surgery. Imaging confirms a localized narrowed segment of jejunum causing proximal dilation and symptoms of vomiting and abdominal pain; endoscopic access is achieved and a balloon dilator is used to mechanically expand the lumen to relieve the obstruction. The procedure is performed percutaneously endoscopic to restore patency and avoid immediate resection. Typical codes: 0D784DZ, 0D784ZZ
A middle-aged patient with Crohn disease and recurrent symptomatic strictures of the proximal small intestine is scheduled for an elective dilation to reduce obstructive symptoms and postpone bowel resection. Under planned percutaneous endoscopic technique, strictured segments are dilated with an intraluminal device during inpatient admission for observation and documentation of response. The goal is controlled mechanical expansion of the bowel lumen to improve passage of intestinal contents. Typical codes: 0D784DZ, 0D784ZZ
A patient develops a tight small-intestine stricture at the site of a recent end-to-end anastomosis, with persistent nausea and failure to advance diet after surgery; initial conservative measures fail and a repeat intervention is required. The team performs dilation through the prior abdominal incision (open approach) using serial dilators to widen the anastomotic lumen and address the postoperative narrowing without creating a new bypass. This is a revision-type procedure to correct postoperative luminal compromise. Typical codes: 0D780DZ, 0D780ZZ

Related Codes

0D71-ESOPHAGUS-UPPER-DILATION

ICD-10-PCS Code For Esophagus, Upper: Procedure Code Group Overview

0D72-ESOPHAGUS-MIDDLE-DILATION

ICD-10-PCS Code for Esophagus, Middle: Procedure Code Group Overview

0D73-ESOPHAGUS-LOWER-DILATION

ICD-10-PCS Code For Esophagus, Lower: Procedure Code Group Overview

0D74-ESOPHAGOGASTRIC-JUNCTION-DILATION

ICD-10-PCS Code For Esophagogastric Junction: Procedure Code Group Overview

0D75-ESOPHAGUS-DILATION

ICD-10-PCS Code For Esophagus: Procedure Code Group Overview

0D76-STOMACH-DILATION

ICD-10-PCS Code For Stomach: Procedure Code Group Overview

0D77-STOMACH-PYLORUS-DILATION

ICD-10-PCS Code For Stomach Pylorus: Procedure Code Group Overview

0D79-DUODENUM-DILATION

ICD-10-PCS Code For Duodenum: Procedure Code Group Overview

0D7A-JEJUNUM-DILATION

ICD-10-PCS Code For Jejunum: Procedure Code Group Overview

0D7B-ILEUM-DILATION

ICD-10-PCS Code For Ileum: Procedure Code Group Overview

Showing 1–10 of 21

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-PCS Code For Small Intestine: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Small Intestine: Procedure Code Group Overview policy alerts

Small Intestine Dilation Procedure Overview

Code Attributes

ICD-10-PCS Code For Small Intestine: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Small Intestine: Procedure Code Group Overview policy alerts

Small Intestine Dilation Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does ICD-10-PCS code group 0D78 represent?

What clinical situations prompt use of a 0D78 dilation code for the small intestine?

How are individual procedures in the 0D78 group differentiated?

How does accurate coding within 0D78 affect inpatient reimbursement?

Which DRGs are related to procedures in the 0D78 small intestine dilation group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does ICD-10-PCS code group 0D78 represent?

What clinical situations prompt use of a 0D78 dilation code for the small intestine?

How are individual procedures in the 0D78 group differentiated?

How does accurate coding within 0D78 affect inpatient reimbursement?

Which DRGs are related to procedures in the 0D78 small intestine dilation group?

References