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ICD-10-PCS 2027 procedure code

0DHD4YZInsertion of Other Device into Lower Intestinal Tract, Percutaneous Endoscopic Approach

✓ Valid for 2027

Short description: Insert of Oth Dev into Low Intest Tract, Perc Endo Approach

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 0DHD4YZ

0DHD4YZ is the ICD-10-PCS code for a insertion procedure on the lower intestinal tract using a percutaneous endoscopic approach with other device. In ICD-10-PCS, insertion means putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of 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 0DH04YZ (upper intestinal tract), 0DH54YZ (esophagus) and 0DH64YZ (stomach).

The same procedure with a different approach is coded 0DHD0YZ (open), 0DHD3YZ (percutaneous), 0DHD7YZ (via natural or artificial opening) and 0DHD8YZ (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
HInsertion

Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part

Includes: Insertion of radioactive implant, insertion of central venous catheter

4. Body Part
DLower Intestinal Tract
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
YOther Device

Includes: Alfapump(R) system

7. Qualifier
ZNo Qualifier

Other versions of this procedure

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
  • FY2018 (effective 10/1/2017): Added
  • No changes since FY2018.

Common questions about 0DHD4YZ

Is 0DHD4YZ a valid ICD-10-PCS code for 2027?

Yes. 0DHD4YZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 0DHD4YZ?

The CMS GEMs map 0DHD4YZ to ICD-9-CM 45.03 (Incision of large intestine).