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ICD-10-PCS 2027 procedure code

0DTE4ZZResection of Large Intestine, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Resection 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 0DTE4ZZ

0DTE4ZZ is the ICD-10-PCS code for a resection procedure on the large intestine using a percutaneous endoscopic approach. In ICD-10-PCS, resection means cutting out or off, without replacement, all of a body part.

In plain terms, this corresponds to laparoscopic total intra-abdominal colectomy, the ICD-9-CM procedure title it maps to (45.81).

For a different body part, codes include 0DT14ZZ (esophagus, upper), 0DT24ZZ (esophagus, middle), 0DT34ZZ (esophagus, lower), 0DT44ZZ (esophagogastric junction), 0DT54ZZ (esophagus), 0DT64ZZ (stomach) and 18 more.

The same procedure with a different approach is coded 0DTE0ZZ (open), 0DTE7ZZ (via natural or artificial opening) and 0DTE8ZZ (via natural or artificial opening endoscopic).

It is an operating-room procedure in the MS-DRG logic for DRG 361 (Other Circulatory System O.R. Procedures with MCC), DRG 362 (Other Circulatory System O.R. Procedures without MCC), 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) and DRG 820 (Lymphoma and Leukemia with Major O.R. Procedures with MCC), under the surgical categories “Other Circulatory System O.R. Procedures”, “Major Small and Large Bowel Procedures”, “Lymphoma and Leukemia with Major O.R. Procedures” and 3 more.

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
TResection

Cutting out or off, without replacement, all of a body part

Includes: Total nephrectomy, total lobectomy of lung

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.

MDC 05 · Diseases and Disorders of the Circulatory System · Other Circulatory System O.R. Procedures

ICD-9-CM equivalent

Converter →
  • 45.81Laparoscopic total intra-abdominal colectomyexact

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 0DTE4ZZ

Is 0DTE4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0DTE4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DTE4ZZ an O.R. procedure?

Yes. 0DTE4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DTE4ZZ group to?

Depending on the principal diagnosis, 0DTE4ZZ can group to MS-DRG 361, MS-DRG 362, MS-DRG 329, MS-DRG 330, MS-DRG 331 and MS-DRG 820.

What is the ICD-9 procedure code for 0DTE4ZZ?

The CMS GEMs map 0DTE4ZZ to ICD-9-CM 45.81 (Laparoscopic total intra-abdominal colectomy).