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ICD-10-PCS 2027 procedure code

0DTLFZZResection of Transverse Colon, Via Natural or Artificial Opening With Percutaneous Endoscopic Assistance

✓ Valid for 2027O.R. procedure

Short description: Resection of Transverse Colon, Via Opening w Perc Endo

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 0DTLFZZ

0DTLFZZ is the ICD-10-PCS code for a resection procedure on the transverse colon using a via natural or artificial opening with percutaneous endoscopic assistance 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 resection of transverse colon, the ICD-9-CM procedure title it maps to (45.74).

For a different body part, codes include 0DTGFZZ (left large intestine), 0DTMFZZ (descending colon) and 0DTNFZZ (sigmoid colon).

The same procedure with a different approach is coded 0DTL0ZZ (open), 0DTL4ZZ (percutaneous endoscopic), 0DTL7ZZ (via natural or artificial opening) and 0DTL8ZZ (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 was added in FY2018, effective October 1, 2017.

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
LTransverse Colon

Includes: Hepatic flexure; Splenic flexure

5. Approach
FVia Natural or Artificial Opening With Percutaneous Endoscopic Assistance

Entry of instrumentation through a natural or artificial external opening and entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to aid in the performance 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 →
  • 45.74Open and other resection of transverse colonapproximate

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 0DTLFZZ

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

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

Is 0DTLFZZ an O.R. procedure?

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

What DRG does 0DTLFZZ group to?

Depending on the principal diagnosis, 0DTLFZZ 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 0DTLFZZ?

The CMS GEMs map 0DTLFZZ to ICD-9-CM 45.74 (Open and other resection of transverse colon).