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ICD-10-PCS 2027 procedure code

0D9M40ZDrainage of Descending Colon with Drainage Device, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Drainage of Descend Colon with Drain Dev, 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 0D9M40Z

0D9M40Z is the ICD-10-PCS code for a drainage procedure on the descending colon using a percutaneous endoscopic approach with drainage device. In ICD-10-PCS, drainage means taking or letting out fluids and/or gases from a body part.

In plain terms, this corresponds to incision of large intestine, the ICD-9-CM procedure title it maps to (45.03).

For a different body part, codes include 0D9140Z (esophagus, upper), 0D9240Z (esophagus, middle), 0D9340Z (esophagus, lower), 0D9440Z (esophagogastric junction), 0D9540Z (esophagus), 0D9640Z (stomach) and 20 more.

The same procedure with a different approach is coded 0D9M00Z (open), 0D9M30Z (percutaneous), 0D9M70Z (via natural or artificial opening) and 0D9M80Z (via natural or artificial opening endoscopic).

With a different device, use 0D9M4ZZ (no device).

It is an operating-room procedure in the MS-DRG logic for DRG 344 (Minor Small and Large Bowel Procedures with MCC), DRG 345 (Minor Small and Large Bowel Procedures with CC), DRG 346 (Minor Small and Large Bowel Procedures without CC/MCC), DRG 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC) and DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), under the surgical categories “Minor Small and Large Bowel Procedures” and “Other O.R. Procedures for Injuries”.

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
9Drainage

Taking or letting out fluids and/or gases from a body part

The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies

Includes: Thoracentesis, incision and drainage

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
0Drainage Device

Includes: Cystostomy tube; Foley catheter; Percutaneous nephrostomy catheter; Thoracostomy tube

7. Qualifier
ZNo Qualifier

Other versions of this procedure

Different device

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

ICD-9-CM equivalent

Converter →
  • 45.03Incision of large intestineapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 0D9M40Z

Is 0D9M40Z a valid ICD-10-PCS code for 2027?

Yes. 0D9M40Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0D9M40Z an O.R. procedure?

Yes. 0D9M40Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0D9M40Z group to?

Depending on the principal diagnosis, 0D9M40Z can group to MS-DRG 344, MS-DRG 345, MS-DRG 346, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0D9M40Z?

The CMS GEMs map 0D9M40Z to ICD-9-CM 45.03 (Incision of large intestine).