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ICD-10-PCS 2027 procedure code

0DDN4ZXExtraction of Sigmoid Colon, Percutaneous Endoscopic Approach, Diagnostic

✓ Valid for 2027

Short description: Extraction of Sigmoid Colon, Perc Endo Approach, Diagn

Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0DDN4ZX

0DDN4ZX is the ICD-10-PCS code for a extraction procedure on the sigmoid colon using a percutaneous endoscopic approach (qualifier: diagnostic). In ICD-10-PCS, extraction means pulling or stripping out or off all or a portion of a body part by the use of force.

In plain terms, this corresponds to closed [endoscopic] biopsy of large intestine, the ICD-9-CM procedure title it maps to (45.25).

For a different body part, codes include 0DD14ZX (esophagus, upper), 0DD24ZX (esophagus, middle), 0DD34ZX (esophagus, lower), 0DD44ZX (esophagogastric junction), 0DD54ZX (esophagus), 0DD64ZX (stomach) and 16 more.

The same procedure with a different approach is coded 0DDN3ZX (percutaneous) and 0DDN8ZX (via natural or artificial opening endoscopic).

It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.

It was added in FY2018, effective October 1, 2017.

What each character means

1. Section
0Medical and Surgical
2. Body System
DGastrointestinal System
3. Operation
DExtraction

Pulling or stripping out or off all or a portion of a body part by the use of force

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

Includes: Dilation and curettage, vein stripping

4. Body Part
NSigmoid Colon

Includes: Rectosigmoid junction; Sigmoid flexure

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
XDiagnostic

Other versions of this procedure

ICD-9-CM equivalent

Converter →
  • 45.25Closed [endoscopic] biopsy 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
  • FY2018 (effective 10/1/2017): Added
  • No changes since FY2018.

Common questions about 0DDN4ZX

Is 0DDN4ZX a valid ICD-10-PCS code for 2027?

Yes. 0DDN4ZX is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 0DDN4ZX?

The CMS GEMs map 0DDN4ZX to ICD-9-CM 45.25 (Closed [endoscopic] biopsy of large intestine).