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ICD-10-PCS 2027 procedure code

0DBB4ZZExcision of Ileum, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

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 0DBB4ZZ

0DBB4ZZ is the ICD-10-PCS code for a excision procedure on the ileum using a percutaneous endoscopic approach. In ICD-10-PCS, excision means cutting out or off, without replacement, a portion of a body part.

In plain terms, this corresponds to local excision of lesion or tissue of small intestine, except duodenum and other partial resection of small intestine, the ICD-9-CM procedure titles it maps to (45.33 and 45.62).

For a different body part, codes include 0DB14ZZ (esophagus, upper), 0DB24ZZ (esophagus, middle), 0DB34ZZ (esophagus, lower), 0DB44ZZ (esophagogastric junction), 0DB54ZZ (esophagus), 0DB64ZZ (stomach) and 20 more.

The same procedure with a different approach is coded 0DBB0ZZ (open), 0DBB3ZZ (percutaneous), 0DBB7ZZ (via natural or artificial opening) and 0DBB8ZZ (via natural or artificial opening endoscopic).

It is an operating-room procedure in the MS-DRG logic for DRG 329 (Major Small and Large Bowel Procedures with MCC), DRG 330 (Major Small and Large Bowel Procedures with CC) and DRG 331 (Major Small and Large Bowel Procedures without CC/MCC), under the surgical category “Major Small and Large Bowel Procedures”.

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
BExcision

Cutting out or off, without replacement, a portion of a body part

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

Includes: Partial nephrectomy, liver biopsy

4. Body Part
BIleum
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 qualifier

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 →
  • 45.33Local excision of lesion or tissue of small intestine, except duodenumapproximate
  • 45.62Other partial resection of small 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 0DBB4ZZ

Is 0DBB4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0DBB4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DBB4ZZ an O.R. procedure?

Yes. 0DBB4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DBB4ZZ group to?

Depending on the principal diagnosis, 0DBB4ZZ can group to MS-DRG 329, MS-DRG 330 and MS-DRG 331.

What is the ICD-9 procedure code for 0DBB4ZZ?

The CMS GEMs map 0DBB4ZZ to ICD-9-CM 45.33 (Local excision of lesion or tissue of small intestine, except duodenum) and 45.62 (Other partial resection of small intestine).