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ICD-10-PCS 2027 procedure code

0DFN4ZZFragmentation in Sigmoid Colon, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Fragmentation in Sigmoid Colon, 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 0DFN4ZZ

0DFN4ZZ is the ICD-10-PCS code for a fragmentation procedure on the sigmoid colon using a percutaneous endoscopic approach. In ICD-10-PCS, fragmentation means breaking solid matter in a body part into pieces.

In plain terms, this corresponds to other repair of intestine, the ICD-9-CM procedure title it maps to (46.79).

For a different body part, codes include 0DF54ZZ (esophagus), 0DF64ZZ (stomach), 0DF84ZZ (small intestine), 0DF94ZZ (duodenum), 0DFA4ZZ (jejunum), 0DFB4ZZ (ileum) and 10 more.

The same procedure with a different approach is coded 0DFN0ZZ (open), 0DFN3ZZ (percutaneous), 0DFN7ZZ (via natural or artificial opening), 0DFN8ZZ (via natural or artificial opening endoscopic) and 0DFNXZZ (external).

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), DRG 331 (Major 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 “Major 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
FFragmentation

Breaking solid matter in a body part into pieces

Physical force (e.g., manual, ultrasonic) applied directly or indirectly is used to break the solid matter into pieces. The solid matter may be an abnormal byproduct of a biological function or a foreign body. The pieces of solid matter are not taken out

Includes: Extracorporeal shockwave lithotripsy, transurethral lithotripsy

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
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 →
  • 46.79Other repair of 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 0DFN4ZZ

Is 0DFN4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0DFN4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DFN4ZZ an O.R. procedure?

Yes. 0DFN4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DFN4ZZ group to?

Depending on the principal diagnosis, 0DFN4ZZ can group to MS-DRG 329, MS-DRG 330, MS-DRG 331, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0DFN4ZZ?

The CMS GEMs map 0DFN4ZZ to ICD-9-CM 46.79 (Other repair of intestine).