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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0D99 includes procedures performed to drain fluids or gases from structures in the duodenum. These ICD-10-PCS codes are used for inpatient documentation when a clinician performs endoscopic, percutaneous, or open drainage of the duodenum to relieve obstruction, control leakage, or evacuate collections. Accurate coding within the ICD-10-PCS 0D99 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Duodenum Drainage Procedure Overview

This procedure group includes drainage procedures performed on the duodenum, targeting the gastrointestinal system. These procedures involve taking or letting out fluids and/or gases from the duodenum to relieve obstruction, remove collections, or decompress the lumen. Accurate ICD-10-PCS coding ensures inpatient records reflect the drainage performed and supports appropriate reimbursement and case mix assignment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
D	Body System	Gastrointestinal System
9	Operation	Drainage
9	Body Part	Duodenum

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

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Duodenum Drainage Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
D	Body System	Gastrointestinal System
9	Operation	Drainage
9	Body Part	Duodenum

When to Use

Use a code from this group when an inpatient procedure specifically drains fluid or gas from the duodenum, whether performed endoscopically, percutaneously, or via an open approach. Do not use these codes for unrelated gastrointestinal procedures or for drainage targeting other anatomical sites.

ICD-10-PCS Codes

15 rows

ICD-10-PCS Code	Description
0D9900Z	Drainage of Duodenum with Drainage Device, Open Approach
0D990ZX	Drainage of Duodenum, Open Approach, Diagnostic
0D990ZZ	Drainage of Duodenum, Open Approach
0D9930Z	Drainage of Duodenum with Drainage Device, Percutaneous Approach
0D993ZX	Drainage of Duodenum, Percutaneous Approach, Diagnostic
0D993ZZ	Drainage of Duodenum, Percutaneous Approach
0D9940Z	Drainage of Duodenum with Drainage Device, Percutaneous Endoscopic Approach
0D994ZX	Drainage of Duodenum, Percutaneous Endoscopic Approach, Diagnostic
0D994ZZ	Drainage of Duodenum, Percutaneous Endoscopic Approach
0D9970Z	Drainage of Duodenum with Drainage Device, Via Natural or Artificial Opening

Showing 1–10 of 15

DRG Codes

15 rows

DRG Code	Description
326	Stomach, Esophageal and Duodenal Procedures with MCC
327	Stomach, Esophageal and Duodenal Procedures with CC
328	Stomach, Esophageal and Duodenal Procedures without CC/MCC
344	Minor Small and Large Bowel Procedures with MCC
345	Minor Small and Large Bowel Procedures with CC
346	Minor Small and Large Bowel Procedures without CC/MCC
423	Other Hepatobiliary or Pancreas O.R. Procedures with MCC
424	Other Hepatobiliary or Pancreas O.R. Procedures with CC
425	Other Hepatobiliary or Pancreas O.R. Procedures without CC/MCC
907	Other O.R. Procedures for Injuries with MCC

Showing 1–10 of 15

Typical Clinical Scenarios

An elderly patient presents to the emergency department with acute upper abdominal pain, persistent vomiting, and radiographic evidence of proximal small-bowel obstruction with duodenal dilation. Conservative measures fail and endoscopic decompression is performed through a duodenoscope to relieve luminal obstruction and evacuate retained secretions. A drainage catheter is left in place endoscopically to permit ongoing decompression and monitoring. Typical codes: 0D9980Z, 0D998ZZ
A patient with a history of chronic pancreatitis and recurrent duodenal fluid collections is admitted electively for image-guided evacuation. Interventional radiology performs a percutaneous drainage of the duodenal collection under fluoroscopic guidance and places an indwelling drain to allow controlled external drainage and tract maturation. Typical codes: 0D9930Z, 0D993ZZ
A postoperative patient develops a localized duodenal leak with an associated abscess identified on CT after upper GI surgery. Because the leak persists despite conservative therapy, an open surgical approach is undertaken to drain the duodenal collection, irrigate the area, and place a surgical drain for ongoing external drainage and source control. Typical codes: 0D9900Z, 0D990ZZ

Related Codes

0D91-ESOPHAGUS-UPPER-DRAINAGE

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

0D92-ESOPHAGUS-MIDDLE-DRAINAGE

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

0D93-ESOPHAGUS-LOWER-TAKING-OR-LETTING-OUT-ESOPHAGUS-LOWER-DRAINAGE

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

0D94-ESOPHAGOGASTRIC-JUNCTION-DRAINAGE

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

0D95-ESOPHAGUS-DRAINAGE

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

0D96-STOMACH-DRAINAGE

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

0D97-STOMACH-PYLORUS-DRAINAGE

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

0D98-SMALL-INTESTINE-DRAINAGE

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

0D9A-JEJUNUM-DRAINAGE

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

0D9B-ILEUM-DRAINAGE

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

Showing 1–10 of 26

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

15 rows

ICD-10-PCS Code	Description
0D9900Z	Drainage of Duodenum with Drainage Device, Open Approach
0D990ZX	Drainage of Duodenum, Open Approach, Diagnostic
0D990ZZ	Drainage of Duodenum, Open Approach
0D9930Z	Drainage of Duodenum with Drainage Device, Percutaneous Approach
0D993ZX	Drainage of Duodenum, Percutaneous Approach, Diagnostic
0D993ZZ	Drainage of Duodenum, Percutaneous Approach
0D9940Z	Drainage of Duodenum with Drainage Device, Percutaneous Endoscopic Approach
0D994ZX	Drainage of Duodenum, Percutaneous Endoscopic Approach, Diagnostic
0D994ZZ	Drainage of Duodenum, Percutaneous Endoscopic Approach
0D9970Z	Drainage of Duodenum with Drainage Device, Via Natural or Artificial Opening

Showing 1–10 of 15

DRG Codes

15 rows

DRG Code	Description
326	Stomach, Esophageal and Duodenal Procedures with MCC
327	Stomach, Esophageal and Duodenal Procedures with CC
328	Stomach, Esophageal and Duodenal Procedures without CC/MCC
344	Minor Small and Large Bowel Procedures with MCC
345	Minor Small and Large Bowel Procedures with CC
346	Minor Small and Large Bowel Procedures without CC/MCC
423	Other Hepatobiliary or Pancreas O.R. Procedures with MCC
424	Other Hepatobiliary or Pancreas O.R. Procedures with CC
425	Other Hepatobiliary or Pancreas O.R. Procedures without CC/MCC
907	Other O.R. Procedures for Injuries with MCC

Showing 1–10 of 15

Typical Clinical Scenarios

An elderly patient presents to the emergency department with acute upper abdominal pain, persistent vomiting, and radiographic evidence of proximal small-bowel obstruction with duodenal dilation. Conservative measures fail and endoscopic decompression is performed through a duodenoscope to relieve luminal obstruction and evacuate retained secretions. A drainage catheter is left in place endoscopically to permit ongoing decompression and monitoring. Typical codes: 0D9980Z, 0D998ZZ
A patient with a history of chronic pancreatitis and recurrent duodenal fluid collections is admitted electively for image-guided evacuation. Interventional radiology performs a percutaneous drainage of the duodenal collection under fluoroscopic guidance and places an indwelling drain to allow controlled external drainage and tract maturation. Typical codes: 0D9930Z, 0D993ZZ
A postoperative patient develops a localized duodenal leak with an associated abscess identified on CT after upper GI surgery. Because the leak persists despite conservative therapy, an open surgical approach is undertaken to drain the duodenal collection, irrigate the area, and place a surgical drain for ongoing external drainage and source control. Typical codes: 0D9900Z, 0D990ZZ

Related Codes

0D91-ESOPHAGUS-UPPER-DRAINAGE

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

0D92-ESOPHAGUS-MIDDLE-DRAINAGE

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

0D93-ESOPHAGUS-LOWER-TAKING-OR-LETTING-OUT-ESOPHAGUS-LOWER-DRAINAGE

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

0D94-ESOPHAGOGASTRIC-JUNCTION-DRAINAGE

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

0D95-ESOPHAGUS-DRAINAGE

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

0D96-STOMACH-DRAINAGE

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

0D97-STOMACH-PYLORUS-DRAINAGE

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

0D98-SMALL-INTESTINE-DRAINAGE

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

0D9A-JEJUNUM-DRAINAGE

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

0D9B-ILEUM-DRAINAGE

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

Showing 1–10 of 26

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 Duodenum: Procedure Code Group Overview

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

Duodenum Drainage Procedure Overview

Code Attributes

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

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

Duodenum Drainage Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers drainage procedures of the duodenum?

What are the approach types represented within the 0D99 code group?

How are individual procedure variations indicated in the 0D99 codes?

Why is accurate coding within 0D99 important for inpatient reimbursement?

Which DRGs may be related to procedures coded from the 0D99 duodenum drainage group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers drainage procedures of the duodenum?

What are the approach types represented within the 0D99 code group?

How are individual procedure variations indicated in the 0D99 codes?

Why is accurate coding within 0D99 important for inpatient reimbursement?

Which DRGs may be related to procedures coded from the 0D99 duodenum drainage group?

References