ICD-10-PCS 2027 procedure code
0DTM7ZZResection of Descending Colon, Via Natural or Artificial Opening
Short description: Resection of Descending Colon, 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 0DTM7ZZ
0DTM7ZZ is the ICD-10-PCS code for a resection procedure on the descending colon 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 other and unspecified partial excision of large intestine, the ICD-9-CM procedure title it maps to (45.79).
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 0DTM0ZZ (open), 0DTM4ZZ (percutaneous endoscopic), 0DTM8ZZ (via natural or artificial opening endoscopic) and 0DTMFZZ (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 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
- MDescending Colon
- 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
Different body part
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
ICD-9-CM equivalent
Converter →- 45.79Other and unspecified partial excision of large intestineapproximate
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 0DTM7ZZ
Is 0DTM7ZZ a valid ICD-10-PCS code for 2027?
- Yes. 0DTM7ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0DTM7ZZ an O.R. procedure?
- Yes. 0DTM7ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0DTM7ZZ group to?
- Depending on the principal diagnosis, 0DTM7ZZ 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 0DTM7ZZ?
- The CMS GEMs map 0DTM7ZZ to ICD-9-CM 45.79 (Other and unspecified partial excision of large intestine).