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ICD-10-PCS 2027 procedure code

0DBN7ZZExcision of Sigmoid Colon, Via Natural or Artificial Opening

✓ 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 0DBN7ZZ

0DBN7ZZ is the ICD-10-PCS code for a excision procedure on the sigmoid colon using a via natural or artificial opening 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 excision of lesion or tissue of large intestine and other and unspecified partial excision of large intestine, the ICD-9-CM procedure titles it maps to (45.41 and 45.79).

For a different body part, codes include 0DB17ZZ (esophagus, upper), 0DB27ZZ (esophagus, middle), 0DB37ZZ (esophagus, lower), 0DB47ZZ (esophagogastric junction), 0DB57ZZ (esophagus), 0DB67ZZ (stomach) and 16 more.

The same procedure with a different approach is coded 0DBN0ZZ (open), 0DBN3ZZ (percutaneous), 0DBN4ZZ (percutaneous endoscopic), 0DBN8ZZ (via natural or artificial opening endoscopic) and 0DBNFZZ (via natural or artificial opening with percutaneous endoscopic assistance).

It is an operating-room procedure in the MS-DRG logic for DRG 347 (Anal and Stomal Procedures with MCC), DRG 348 (Anal and Stomal Procedures with CC), DRG 349 (Anal and Stomal Procedures without CC/MCC), DRG 628 (Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC or Insertion of Antibiotic-eluting Bone Void Filler), DRG 629 (Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC) and DRG 630 (Other Endocrine, Nutritional and Metabolic O.R. Procedures without CC/MCC), under the surgical categories “Anal and Stomal Procedures” and “Other Endocrine, Nutritional and Metabolic O.R. 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
NSigmoid Colon

Includes: Rectosigmoid junction; Sigmoid flexure

5. Approach
7Via Natural or Artificial Opening

Entry of instrumentation through a natural or artificial external opening to reach 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 →
  • 45.41Excision of lesion or tissue of large intestineapproximate
  • 45.79Other and unspecified partial excision 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 0DBN7ZZ

Is 0DBN7ZZ a valid ICD-10-PCS code for 2027?

Yes. 0DBN7ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DBN7ZZ an O.R. procedure?

Yes. 0DBN7ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DBN7ZZ group to?

Depending on the principal diagnosis, 0DBN7ZZ can group to MS-DRG 347, MS-DRG 348, MS-DRG 349, MS-DRG 628, MS-DRG 629 and MS-DRG 630.

What is the ICD-9 procedure code for 0DBN7ZZ?

The CMS GEMs map 0DBN7ZZ to ICD-9-CM 45.41 (Excision of lesion or tissue of large intestine) and 45.79 (Other and unspecified partial excision of large intestine).