ICD-10-PCS 2027 procedure code
0D5M4ZZDestruction of Descending Colon, Percutaneous Endoscopic Approach
Short description: Destruction of Descending Colon, Perc Endo Approach
Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data
About 0D5M4ZZ
0D5M4ZZ is the ICD-10-PCS code for a destruction procedure on the descending colon using a percutaneous endoscopic approach. In ICD-10-PCS, destruction means physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent.
In plain terms, this corresponds to endoscopic destruction of other lesion or tissue of large intestine, the ICD-9-CM procedure title it maps to (45.43).
For a different body part, codes include 0D514ZZ (esophagus, upper), 0D524ZZ (esophagus, middle), 0D534ZZ (esophagus, lower), 0D544ZZ (esophagogastric junction), 0D554ZZ (esophagus), 0D564ZZ (stomach) and 20 more.
The same procedure with a different approach is coded 0D5M0ZZ (open), 0D5M3ZZ (percutaneous), 0D5M7ZZ (via natural or artificial opening) and 0D5M8ZZ (via natural or artificial opening endoscopic).
It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.
It has been valid since ICD-10-PCS took effect on October 1, 2015.
What each character means
- 1. Section
- 0Medical and Surgical
- 2. Body System
- DGastrointestinal System
- 3. Operation
- 5Destruction
Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent
None of the body part is physically taken out
Includes: Fulguration of rectal polyp, cautery of skin lesion
- 4. Body Part
- MDescending Colon
- 5. Approach
- 4Percutaneous Endoscopic
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure
- 6. Device
- ZNo Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
Different approach
Different qualifier
ICD-9-CM equivalent
Converter →- 45.43Endoscopic destruction of other lesion or tissue of large intestineapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 0D5M4ZZ
Is 0D5M4ZZ a valid ICD-10-PCS code for 2027?
- Yes. 0D5M4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
What is the ICD-9 procedure code for 0D5M4ZZ?
- The CMS GEMs map 0D5M4ZZ to ICD-9-CM 45.43 (Endoscopic destruction of other lesion or tissue of large intestine).