ICD-10-PCS 2027 procedure code
0DTM4ZGResection of Descending Colon, Percutaneous Endoscopic Approach, Hand-Assisted
Short description: Resection of Descending Colon, Perc Endo Approach, Hnd-Asist
Code last changed in FY2024 (effective October 1, 2023). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data
About 0DTM4ZG
0DTM4ZG is the ICD-10-PCS code for a resection procedure on the descending colon using a percutaneous endoscopic approach (qualifier: hand-assisted). In ICD-10-PCS, resection means cutting out or off, without replacement, all of a body part.
For a different body part, codes include 0DTF4ZG (right large intestine), 0DTG4ZG (left large intestine), 0DTJ4ZG (appendix), 0DTL4ZG (transverse colon) and 0DTN4ZG (sigmoid colon).
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 FY2024, effective October 1, 2023.
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
- MDescending Colon
- 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
- GHand-Assisted
Other versions of this procedure
Different body part
Different qualifier
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
MDC 06 · Diseases and Disorders of the Digestive System · Major Small and Large Bowel Procedures
MDC 17 · Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms · Lymphoma and Leukemia with Major O.R. Procedures
MDC 17 · Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms · Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
- 826Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCCRW 4.7581
- 827Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with CCRW 2.3896
- 828Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures without CC/MCCRW 1.6955
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2024 (effective 10/1/2023): Added
- No changes since FY2024.
Common questions about 0DTM4ZG
Is 0DTM4ZG a valid ICD-10-PCS code for 2027?
- Yes. 0DTM4ZG is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0DTM4ZG an O.R. procedure?
- Yes. 0DTM4ZG is an O.R. procedure in MS-DRG v44.0.
What DRG does 0DTM4ZG group to?
- Depending on the principal diagnosis, 0DTM4ZG can group to MS-DRG 361, MS-DRG 362, MS-DRG 329, MS-DRG 330, MS-DRG 331 and MS-DRG 820.