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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0DRV includes procedures performed to replace biological or synthetic material that physically takes the place and/or function of all or a portion of the mesentery in the gastrointestinal system. These ICD-10-PCS codes are used for inpatient documentation when a patient requires surgical replacement of the mesentery due to loss of tissue, severe injury, or dysfunction that compromises gastrointestinal support or vascular supply. Accurate coding within the ICD-10-PCS 0DRV group is essential for proper inpatient reimbursement, as it captures the specific replacement procedure performed and determines appropriate case mix and payment.

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Mesentery Replacement Procedure Overview

Procedures in this group involve replacing all or part of the mesentery using biological or synthetic material and target the gastrointestinal system. These replacement operations restore the anatomical continuity or function of the mesentery when it is missing, damaged, or nonfunctional. Accurate ICD-10-PCS coding is important for inpatient reimbursement because it captures the specific replacement procedure performed and supports appropriate case mix and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
D	Body System	Gastrointestinal System
R	Operation	Replacement
V	Body Part	Mesentery

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

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Mesentery Replacement Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
D	Body System	Gastrointestinal System
R	Operation	Replacement
V	Body Part	Mesentery

When to Use

Use a code from this group when surgery involves placing biological or synthetic material to replace all or a portion of the mesentery. These codes apply when the mesentery is absent, irreparably damaged, or nonfunctional and replacement is performed to restore support or vascular supply to the intestines.

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
0DRV07Z	Replacement of Mesentery with Autologous Tissue Substitute, Open Approach
0DRV0JZ	Replacement of Mesentery with Synthetic Substitute, Open Approach
0DRV0KZ	Replacement of Mesentery with Nonautologous Tissue Substitute, Open Approach
0DRV47Z	Replacement of Mesentery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0DRV4JZ	Replacement of Mesentery with Synthetic Substitute, Percutaneous Endoscopic Approach
0DRV4KZ	Replacement of Mesentery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

DRG Codes

18 rows

DRG Code	Description
356	Other Digestive System O.R. Procedures with MCC
357	Other Digestive System O.R. Procedures with CC
358	Other Digestive System O.R. 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
820	Lymphoma and Leukemia with Major O.R. Procedures with MCC
821	Lymphoma and Leukemia with Major O.R. Procedures with CC
822	Lymphoma and Leukemia with Major O.R. Procedures without CC/MCC
826	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCC

Showing 1–10 of 18

Typical Clinical Scenarios

An adult patient presents emergently after blunt abdominal trauma with devascularization and extensive loss of mesenteric tissue supplying multiple small bowel segments, resulting in ischemia and risk of further bowel necrosis; the patient is taken to the operating room for operative exploration and the surgical team replaces the damaged mesentery with synthetic material to reestablish structural support and vascular conduits to preserve remaining bowel. Typical codes: 0DRV0JZ
An elective case in a middle-aged patient with prior extensive oncologic resection that included large portions of the mesentery, now causing chronic volvulus and compromised mesenteric support; the surgical plan during scheduled inpatient admission is to reconstruct and replace portions of the mesentery using the patient’s own tissue harvested intraoperatively to restore anatomy and prevent recurrent obstruction. Typical codes: 0DRV07Z
A postoperative complication in an elderly patient who previously underwent mesenteric repair with nonautologous biologic graft that has failed, leading to recurrent internal herniation and compromised bowel perfusion; during the inpatient revision surgery the failed graft is removed and replaced with a different nonautologous tissue substitute to restore mesenteric integrity. Typical codes: 0DRV4KZ

Related Codes

0DR5-ESOPHAGUS-REPLACEMENT

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

0DRR-ANAL-SPHINCTER-REPLACEMENT

ICD-10-PCS Code For Anal Sphincter: Procedure Code Group Overview

0DRU-OMENTUM-REPLACEMENT

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

0DRW-PERITONEUM-REPLACEMENT

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

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

6 rows

ICD-10-PCS Code	Description
0DRV07Z	Replacement of Mesentery with Autologous Tissue Substitute, Open Approach
0DRV0JZ	Replacement of Mesentery with Synthetic Substitute, Open Approach
0DRV0KZ	Replacement of Mesentery with Nonautologous Tissue Substitute, Open Approach
0DRV47Z	Replacement of Mesentery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0DRV4JZ	Replacement of Mesentery with Synthetic Substitute, Percutaneous Endoscopic Approach
0DRV4KZ	Replacement of Mesentery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

DRG Codes

18 rows

DRG Code	Description
356	Other Digestive System O.R. Procedures with MCC
357	Other Digestive System O.R. Procedures with CC
358	Other Digestive System O.R. 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
820	Lymphoma and Leukemia with Major O.R. Procedures with MCC
821	Lymphoma and Leukemia with Major O.R. Procedures with CC
822	Lymphoma and Leukemia with Major O.R. Procedures without CC/MCC
826	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCC

Showing 1–10 of 18

Typical Clinical Scenarios

An adult patient presents emergently after blunt abdominal trauma with devascularization and extensive loss of mesenteric tissue supplying multiple small bowel segments, resulting in ischemia and risk of further bowel necrosis; the patient is taken to the operating room for operative exploration and the surgical team replaces the damaged mesentery with synthetic material to reestablish structural support and vascular conduits to preserve remaining bowel. Typical codes: 0DRV0JZ
An elective case in a middle-aged patient with prior extensive oncologic resection that included large portions of the mesentery, now causing chronic volvulus and compromised mesenteric support; the surgical plan during scheduled inpatient admission is to reconstruct and replace portions of the mesentery using the patient’s own tissue harvested intraoperatively to restore anatomy and prevent recurrent obstruction. Typical codes: 0DRV07Z
A postoperative complication in an elderly patient who previously underwent mesenteric repair with nonautologous biologic graft that has failed, leading to recurrent internal herniation and compromised bowel perfusion; during the inpatient revision surgery the failed graft is removed and replaced with a different nonautologous tissue substitute to restore mesenteric integrity. Typical codes: 0DRV4KZ

Related Codes

0DR5-ESOPHAGUS-REPLACEMENT

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

0DRR-ANAL-SPHINCTER-REPLACEMENT

ICD-10-PCS Code For Anal Sphincter: Procedure Code Group Overview

0DRU-OMENTUM-REPLACEMENT

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

0DRW-PERITONEUM-REPLACEMENT

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

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 Mesentery: Procedure Code Group Overview

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

Mesentery Replacement Procedure Overview

Code Attributes

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

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

Mesentery Replacement 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 mesentery replacement procedures?

What body system and operation are represented by the 0DRV code group?

What specific ICD-10-PCS codes are included in the 0DRV group and how do they differ?

When should clinicians and coders use codes from 0DRV for inpatient documentation?

Which DRG families can an ICD-10-PCS 0DRV procedure map to for reimbursement grouping?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers mesentery replacement procedures?

What body system and operation are represented by the 0DRV code group?

What specific ICD-10-PCS codes are included in the 0DRV group and how do they differ?

When should clinicians and coders use codes from 0DRV for inpatient documentation?

Which DRG families can an ICD-10-PCS 0DRV procedure map to for reimbursement grouping?

References