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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0DB7 includes procedures performed to excise tissue in the stomach, pylorus. These ICD-10-PCS codes are used for inpatient documentation when a portion of the pyloric stomach is surgically removed for therapeutic or diagnostic reasons such as obstruction, ulceration, or neoplasm. Accurate coding within the ICD-10-PCS 0DB7 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Stomach, Pylorus Excision Procedure Overview

This procedure group encompasses excision procedures on the pyloric portion of the stomach within the gastrointestinal system. These inpatient surgeries remove a portion of the stomach, pylorus, for diagnostic or therapeutic reasons such as disease, obstruction, or tumor. Accurate coding to this excision group affects inpatient reimbursement by reflecting the specific surgical action and anatomical site, which supports appropriate case mix assignment and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
D	Body System	Gastrointestinal System
B	Operation	Excision
7	Body Part	Stomach, Pylorus

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

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Stomach, Pylorus Excision Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
D	Body System	Gastrointestinal System
B	Operation	Excision
7	Body Part	Stomach, Pylorus

When to Use

Use a code from this group when operative notes describe excision of tissue from the pylorus of the stomach. Assign these codes for inpatient procedures where a portion of the pyloric stomach is cut out or off without replacement.

ICD-10-PCS Codes

10 rows

ICD-10-PCS Code	Description
0DB70ZX	Excision of Stomach, Pylorus, Open Approach, Diagnostic
0DB70ZZ	Excision of Stomach, Pylorus, Open Approach
0DB73ZX	Excision of Stomach, Pylorus, Percutaneous Approach, Diagnostic
0DB73ZZ	Excision of Stomach, Pylorus, Percutaneous Approach
0DB74ZX	Excision of Stomach, Pylorus, Percutaneous Endoscopic Approach, Diagnostic
0DB74ZZ	Excision of Stomach, Pylorus, Percutaneous Endoscopic Approach
0DB77ZX	Excision of Stomach, Pylorus, Via Natural or Artificial Opening, Diagnostic
0DB77ZZ	Excision of Stomach, Pylorus, Via Natural or Artificial Opening
0DB78ZX	Excision of Stomach, Pylorus, Via Natural or Artificial Opening Endoscopic, Diagnostic
0DB78ZZ	Excision of Stomach, Pylorus, Via Natural or Artificial Opening Endoscopic

DRG Codes

12 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
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
628	Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC
629	Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC
630	Other Endocrine, Nutritional and Metabolic O.R. Procedures without CC/MCC
987	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC

Showing 1–10 of 12

Typical Clinical Scenarios

An adult patient presents emergently with gastric outlet obstruction from a bleeding, stenotic pyloric ulcer causing persistent vomiting and inability to tolerate oral intake. After resuscitation and imaging confirming localized disease limited to the pylorus, the surgical team performs an open excision of the diseased pyloric tissue to relieve the obstruction and obtain tissue for pathology. The procedure removes a portion of the pyloric stomach without replacement to restore gastric emptying. Typical codes: 0DB70ZZ
An elective admission for a patient with a localized pyloric adenoma identified on endoscopic biopsy and persistent dyspepsia despite medical therapy. The patient undergoes a planned percutaneous endoscopic excision of the lesion to remove the abnormal pyloric mucosa for definitive diagnosis and treatment while preserving surrounding gastric anatomy. The operation excises a portion of the pylorus without replacement and is performed via a percutaneous endoscopic approach. Typical codes: 0DB74ZX, 0DB74ZZ
A patient with a prior endoscopic pyloric intervention returns with recurrent obstruction and scarred stenosis of the pylorus causing weight loss and intolerance of solids. After evaluation, a percutaneous excision of the scarred pyloric tissue is performed to relieve the obstruction; intraoperative findings require excision guided by endoscopic visualization. This revision-type procedure removes portion of the pylorus without replacement and is performed via a percutaneous approach with diagnostic sampling as needed. Typical codes: 0DB73ZX, 0DB73ZZ

Related Codes

0DB1-ESOPHAGUS-UPPER-EXCISION

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

0DB2-ESOPHAGUS-MIDDLE-EXCISION

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

0DB3-ESOPHAGUS-LOWER-EXCISION

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

0DB4-ESOPHAGOGASTRIC-JUNCTION-EXCISION

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

0DB5-ESOPHAGUS-EXCISION

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

0DB6-STOMACH-EXCISION

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

0DB8-SMALL-INTESTINE-EXCISION

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

0DB9-DUODENUM-EXCISION

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

0DBA-JEJUNUM-EXCISION

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

0DBB-ILEUM-EXCISION

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

10 rows

ICD-10-PCS Code	Description
0DB70ZX	Excision of Stomach, Pylorus, Open Approach, Diagnostic
0DB70ZZ	Excision of Stomach, Pylorus, Open Approach
0DB73ZX	Excision of Stomach, Pylorus, Percutaneous Approach, Diagnostic
0DB73ZZ	Excision of Stomach, Pylorus, Percutaneous Approach
0DB74ZX	Excision of Stomach, Pylorus, Percutaneous Endoscopic Approach, Diagnostic
0DB74ZZ	Excision of Stomach, Pylorus, Percutaneous Endoscopic Approach
0DB77ZX	Excision of Stomach, Pylorus, Via Natural or Artificial Opening, Diagnostic
0DB77ZZ	Excision of Stomach, Pylorus, Via Natural or Artificial Opening
0DB78ZX	Excision of Stomach, Pylorus, Via Natural or Artificial Opening Endoscopic, Diagnostic
0DB78ZZ	Excision of Stomach, Pylorus, Via Natural or Artificial Opening Endoscopic

DRG Codes

12 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
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
628	Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC
629	Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC
630	Other Endocrine, Nutritional and Metabolic O.R. Procedures without CC/MCC
987	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC

Showing 1–10 of 12

Typical Clinical Scenarios

An adult patient presents emergently with gastric outlet obstruction from a bleeding, stenotic pyloric ulcer causing persistent vomiting and inability to tolerate oral intake. After resuscitation and imaging confirming localized disease limited to the pylorus, the surgical team performs an open excision of the diseased pyloric tissue to relieve the obstruction and obtain tissue for pathology. The procedure removes a portion of the pyloric stomach without replacement to restore gastric emptying. Typical codes: 0DB70ZZ
An elective admission for a patient with a localized pyloric adenoma identified on endoscopic biopsy and persistent dyspepsia despite medical therapy. The patient undergoes a planned percutaneous endoscopic excision of the lesion to remove the abnormal pyloric mucosa for definitive diagnosis and treatment while preserving surrounding gastric anatomy. The operation excises a portion of the pylorus without replacement and is performed via a percutaneous endoscopic approach. Typical codes: 0DB74ZX, 0DB74ZZ
A patient with a prior endoscopic pyloric intervention returns with recurrent obstruction and scarred stenosis of the pylorus causing weight loss and intolerance of solids. After evaluation, a percutaneous excision of the scarred pyloric tissue is performed to relieve the obstruction; intraoperative findings require excision guided by endoscopic visualization. This revision-type procedure removes portion of the pylorus without replacement and is performed via a percutaneous approach with diagnostic sampling as needed. Typical codes: 0DB73ZX, 0DB73ZZ

Related Codes

0DB1-ESOPHAGUS-UPPER-EXCISION

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

0DB2-ESOPHAGUS-MIDDLE-EXCISION

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

0DB3-ESOPHAGUS-LOWER-EXCISION

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

0DB4-ESOPHAGOGASTRIC-JUNCTION-EXCISION

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

0DB5-ESOPHAGUS-EXCISION

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

0DB6-STOMACH-EXCISION

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

0DB8-SMALL-INTESTINE-EXCISION

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

0DB9-DUODENUM-EXCISION

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

0DBA-JEJUNUM-EXCISION

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

0DBB-ILEUM-EXCISION

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 Stomach, Pylorus: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Stomach, Pylorus: Procedure Code Group Overview policy alerts

Stomach, Pylorus Excision Procedure Overview

Code Attributes

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

Sign up for ICD-10-PCS Code For Stomach, Pylorus: Procedure Code Group Overview policy alerts

Stomach, Pylorus Excision Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS 0DB7 code group?

What is the clinical purpose of procedures coded to 0DB7?

How does accurate coding to the 0DB7 group affect inpatient reimbursement?

What code attributes define the 0DB7 procedure group in ICD-10-PCS?

Which DRGs may be related when coding a pylorus excision under 0DB7?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS 0DB7 code group?

What is the clinical purpose of procedures coded to 0DB7?

How does accurate coding to the 0DB7 group affect inpatient reimbursement?

What code attributes define the 0DB7 procedure group in ICD-10-PCS?

Which DRGs may be related when coding a pylorus excision under 0DB7?

References