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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0DRW includes procedures performed to replace biological or synthetic material that takes the place and/or function of all or a portion of the peritoneum in the gastrointestinal system. These ICD-10-PCS codes are used for inpatient documentation when a clinician implants or substitutes material to restore peritoneal surface or lining function due to loss or dysfunction of native peritoneum. Accurate coding within the ICD-10-PCS 0DRW group is essential for proper inpatient reimbursement, as it captures the replacement procedure performed and supports clinical documentation accuracy.

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Peritoneum Replacement Procedure Overview

Procedures in this group involve replacing all or part of the peritoneum with biological or synthetic material and target the gastrointestinal system. These operations restore the surface or lining function of the peritoneum when native tissue is absent or nonfunctional. Accurate coding ensures inpatient records reflect the replacement procedure performed and supports appropriate reimbursement determinations.

Code Attributes

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

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

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Peritoneum 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
W	Body Part	Peritoneum

When to Use

Use codes from this group when an inpatient procedure implants or applies material to replace peritoneal tissue that is missing, damaged, or nonfunctional. These codes apply when the primary intent of the operation is replacement rather than repair, transplantation, or insertion alone.

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
0DRW07Z	Replacement of Peritoneum with Autologous Tissue Substitute, Open Approach
0DRW0JZ	Replacement of Peritoneum with Synthetic Substitute, Open Approach
0DRW0KZ	Replacement of Peritoneum with Nonautologous Tissue Substitute, Open Approach
0DRW47Z	Replacement of Peritoneum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0DRW4JZ	Replacement of Peritoneum with Synthetic Substitute, Percutaneous Endoscopic Approach
0DRW4KZ	Replacement of Peritoneum 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 with extensive peritoneal loss after surgical debridement for necrotizing fasciitis that involved the anterior peritoneal surface. Because native peritoneum cannot be reapproximated and a durable lining is required to protect abdominal contents and facilitate later reconstructions, surgical replacement of the peritoneal surface with a synthetic graft is performed via an open abdominal approach. The primary intent is replacement of the peritoneum rather than simple repair or insertion of a device. Typical codes: 0DRW0JZ
A patient with recurrent malignant peritoneal carcinomatosis undergoing planned cytoreductive surgery has a segment of diseased peritoneum resected; to restore peritoneal lining and prevent adhesions before completing definitive treatment, the surgeon implants autologous tissue substitute harvested and applied during the same operative session using an open approach. The procedure is elective and intended to replace lost peritoneal surface to optimize abdominal wall and visceral protection. Typical codes: 0DRW07Z
A patient previously treated with biologic mesh for peritoneal reconstruction develops mesh failure with chronic fistula and recurrent contamination; during a staged inpatient revision, the failed material is removed and replaced with a nonautologous tissue substitute to reestablish a functional peritoneal lining via a percutaneous endoscopic–assisted approach to limit further contamination. The admission is for management of the complication and definitive replacement of the peritoneal substitute. Typical codes: 0DRW4KZ

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

0DRV-MESENTERY-REPLACEMENT

ICD-10-PCS Code For Mesentery: 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
0DRW07Z	Replacement of Peritoneum with Autologous Tissue Substitute, Open Approach
0DRW0JZ	Replacement of Peritoneum with Synthetic Substitute, Open Approach
0DRW0KZ	Replacement of Peritoneum with Nonautologous Tissue Substitute, Open Approach
0DRW47Z	Replacement of Peritoneum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0DRW4JZ	Replacement of Peritoneum with Synthetic Substitute, Percutaneous Endoscopic Approach
0DRW4KZ	Replacement of Peritoneum 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 with extensive peritoneal loss after surgical debridement for necrotizing fasciitis that involved the anterior peritoneal surface. Because native peritoneum cannot be reapproximated and a durable lining is required to protect abdominal contents and facilitate later reconstructions, surgical replacement of the peritoneal surface with a synthetic graft is performed via an open abdominal approach. The primary intent is replacement of the peritoneum rather than simple repair or insertion of a device. Typical codes: 0DRW0JZ
A patient with recurrent malignant peritoneal carcinomatosis undergoing planned cytoreductive surgery has a segment of diseased peritoneum resected; to restore peritoneal lining and prevent adhesions before completing definitive treatment, the surgeon implants autologous tissue substitute harvested and applied during the same operative session using an open approach. The procedure is elective and intended to replace lost peritoneal surface to optimize abdominal wall and visceral protection. Typical codes: 0DRW07Z
A patient previously treated with biologic mesh for peritoneal reconstruction develops mesh failure with chronic fistula and recurrent contamination; during a staged inpatient revision, the failed material is removed and replaced with a nonautologous tissue substitute to reestablish a functional peritoneal lining via a percutaneous endoscopic–assisted approach to limit further contamination. The admission is for management of the complication and definitive replacement of the peritoneal substitute. Typical codes: 0DRW4KZ

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

0DRV-MESENTERY-REPLACEMENT

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

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

Peritoneum Replacement Procedure Overview

Code Attributes

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

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

Peritoneum Replacement 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 code group 0DRW?

What is the clinical intent captured by the 0DRW code group?

What are the code attributes for the 0DRW procedure group?

How does accurate coding within 0DRW affect reimbursement and documentation?

Which DRGs may be related to procedures coded in the 0DRW group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

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

What is the clinical intent captured by the 0DRW code group?

What are the code attributes for the 0DRW procedure group?

How does accurate coding within 0DRW affect reimbursement and documentation?

Which DRGs may be related to procedures coded in the 0DRW group?

References