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ICD-10-PCS 2027 procedure code

0DCE4ZZExtirpation of Matter from Large Intestine, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Extirpation of Matter from Lg Intest, 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 0DCE4ZZ

0DCE4ZZ is the ICD-10-PCS code for a extirpation procedure on the large intestine using a percutaneous endoscopic approach. In ICD-10-PCS, extirpation means taking or cutting out solid matter 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 0DC14ZZ (esophagus, upper), 0DC24ZZ (esophagus, middle), 0DC34ZZ (esophagus, lower), 0DC44ZZ (esophagogastric junction), 0DC54ZZ (esophagus), 0DC64ZZ (stomach) and 20 more.

The same procedure with a different approach is coded 0DCE0ZZ (open), 0DCE3ZZ (percutaneous), 0DCE7ZZ (via natural or artificial opening) and 0DCE8ZZ (via natural or artificial opening endoscopic).

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
CExtirpation

Taking or cutting out solid matter from a body part

The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces

Includes: Thrombectomy, choledocholithotomy

4. Body Part
ELarge Intestine
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

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 0DCE4ZZ

Is 0DCE4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0DCE4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DCE4ZZ an O.R. procedure?

Yes. 0DCE4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DCE4ZZ group to?

Depending on the principal diagnosis, 0DCE4ZZ 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 0DCE4ZZ?

The CMS GEMs map 0DCE4ZZ to ICD-9-CM 45.03 (Incision of large intestine).