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ICD-10-PCS 2027 procedure code

0DTG7ZZResection of Left Large Intestine, Via Natural or Artificial Opening

✓ Valid for 2027O.R. procedure

Short description: Resection of Left Large Intestine, Via Opening

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 0DTG7ZZ

0DTG7ZZ is the ICD-10-PCS code for a resection procedure on the left large intestine using a via natural or artificial opening approach. In ICD-10-PCS, resection means cutting out or off, without replacement, all of a body part.

In plain terms, this corresponds to open and other left hemicolectomy, the ICD-9-CM procedure title it maps to (45.75).

For a different body part, codes include 0DT17ZZ (esophagus, upper), 0DT27ZZ (esophagus, middle), 0DT37ZZ (esophagus, lower), 0DT47ZZ (esophagogastric junction), 0DT57ZZ (esophagus), 0DT67ZZ (stomach) and 16 more.

The same procedure with a different approach is coded 0DTG0ZZ (open), 0DTG4ZZ (percutaneous endoscopic), 0DTG8ZZ (via natural or artificial opening endoscopic) and 0DTGFZZ (via natural or artificial opening with percutaneous endoscopic assistance).

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 628 (Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC or Insertion of Antibiotic-eluting Bone Void Filler), under the surgical categories “Other Circulatory System O.R. Procedures”, “Major Small and Large Bowel Procedures”, “Other Endocrine, Nutritional and Metabolic O.R. Procedures” and 4 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
GLarge Intestine, Left
5. Approach
7Via Natural or Artificial Opening

Entry of instrumentation through a natural or artificial external opening to reach 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 →
  • 45.75Open and other left hemicolectomyapproximate

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 0DTG7ZZ

Is 0DTG7ZZ a valid ICD-10-PCS code for 2027?

Yes. 0DTG7ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DTG7ZZ an O.R. procedure?

Yes. 0DTG7ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DTG7ZZ group to?

Depending on the principal diagnosis, 0DTG7ZZ can group to MS-DRG 361, MS-DRG 362, MS-DRG 329, MS-DRG 330, MS-DRG 331 and MS-DRG 628.

What is the ICD-9 procedure code for 0DTG7ZZ?

The CMS GEMs map 0DTG7ZZ to ICD-9-CM 45.75 (Open and other left hemicolectomy).