ICD-10-PCS 2027 procedure code
0DLE4ZZOcclusion of Large Intestine, Percutaneous Endoscopic Approach
Short description: Occlusion of Large Intestine, 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 0DLE4ZZ
0DLE4ZZ is the ICD-10-PCS code for a occlusion procedure on the large intestine using a percutaneous endoscopic approach. In ICD-10-PCS, occlusion means completely closing an orifice or the lumen of a tubular body part.
In plain terms, this corresponds to other operations on intestines, the ICD-9-CM procedure title it maps to (46.99).
For a different body part, codes include 0DL14ZZ (esophagus, upper), 0DL24ZZ (esophagus, middle), 0DL34ZZ (esophagus, lower), 0DL44ZZ (esophagogastric junction), 0DL54ZZ (esophagus), 0DL64ZZ (stomach) and 15 more.
The same procedure with a different approach is coded 0DLE0ZZ (open), 0DLE3ZZ (percutaneous), 0DLE7ZZ (via natural or artificial opening) and 0DLE8ZZ (via natural or artificial opening endoscopic).
With a different device, use 0DLE4CZ (extraluminal device) and 0DLE4DZ (intraluminal device).
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) and DRG 331 (Major Small and Large Bowel Procedures without CC/MCC), under the surgical category “Major Small and Large Bowel 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
- LOcclusion
Completely closing an orifice or the lumen of a tubular body part
The orifice can be a natural orifice or an artificially created orifice
Includes: Fallopian tube ligation, ligation of inferior vena cava
- 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
Different body part
Different approach
Different device
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 06 · Diseases and Disorders of the Digestive System · Major Small and Large Bowel Procedures
ICD-9-CM equivalent
Converter →- 46.99Other operations on intestinesapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 0DLE4ZZ
Is 0DLE4ZZ a valid ICD-10-PCS code for 2027?
- Yes. 0DLE4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0DLE4ZZ an O.R. procedure?
- Yes. 0DLE4ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0DLE4ZZ group to?
- Depending on the principal diagnosis, 0DLE4ZZ can group to MS-DRG 329, MS-DRG 330 and MS-DRG 331.
What is the ICD-9 procedure code for 0DLE4ZZ?
- The CMS GEMs map 0DLE4ZZ to ICD-9-CM 46.99 (Other operations on intestines).