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ICD-10-PCS 2027 procedure code

0DBM4ZGExcision of Descending Colon, Percutaneous Endoscopic Approach, Hand-Assisted

✓ Valid for 2027O.R. procedure

Short description: Excision of Descending Colon, Perc Endo Approach, Hnd-Asist

Code last changed in FY2024 (effective October 1, 2023). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0DBM4ZG

0DBM4ZG is the ICD-10-PCS code for a excision procedure on the descending colon using a percutaneous endoscopic approach (qualifier: hand-assisted). In ICD-10-PCS, excision means cutting out or off, without replacement, a portion of a body part.

For a different body part, codes include 0DBF4ZG (right large intestine), 0DBG4ZG (left large intestine), 0DBJ4ZG (appendix), 0DBL4ZG (transverse colon) and 0DBN4ZG (sigmoid colon).

It is an operating-room procedure in the MS-DRG logic for DRG 361 (Other Circulatory System O.R. Procedures with MCC), DRG 362 (Other Circulatory System O.R. Procedures without MCC), DRG 329 (Major Small and Large Bowel Procedures with MCC), DRG 330 (Major Small and Large Bowel Procedures with CC), DRG 331 (Major Small and Large Bowel Procedures without CC/MCC) and DRG 628 (Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC or Insertion of Antibiotic-eluting Bone Void Filler), under the surgical categories “Other Circulatory System O.R. Procedures”, “Major Small and Large Bowel Procedures”, “Other Endocrine, Nutritional and Metabolic O.R. Procedures” and 4 more.

It was added in FY2024, effective October 1, 2023.

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
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
GHand-Assisted

Other versions of this procedure

MS-DRG v44.0 grouping

All DRGs →

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

MDC 05 · Diseases and Disorders of the Circulatory System · Other Circulatory System O.R. Procedures

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
  • FY2024 (effective 10/1/2023): Added
  • No changes since FY2024.

Common questions about 0DBM4ZG

Is 0DBM4ZG a valid ICD-10-PCS code for 2027?

Yes. 0DBM4ZG is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DBM4ZG an O.R. procedure?

Yes. 0DBM4ZG is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DBM4ZG group to?

Depending on the principal diagnosis, 0DBM4ZG can group to MS-DRG 361, MS-DRG 362, MS-DRG 329, MS-DRG 330, MS-DRG 331 and MS-DRG 628.