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ICD-10-PCS 2027 procedure code

0DTN4ZZResection of Sigmoid Colon, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

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 0DTN4ZZ

0DTN4ZZ is the ICD-10-PCS code for a resection procedure on the sigmoid colon 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 sigmoidectomy, the ICD-9-CM procedure title it maps to (17.36).

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 0DTN0ZZ (open), 0DTN7ZZ (via natural or artificial opening), 0DTN8ZZ (via natural or artificial opening endoscopic) and 0DTNFZZ (via natural or artificial opening with percutaneous endoscopic assistance).

It is an operating-room procedure in the MS-DRG logic for 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), DRG 673 (Other Kidney and Urinary Tract Procedures with MCC), DRG 674 (Other Kidney and Urinary Tract Procedures with CC) and DRG 675 (Other Kidney and Urinary Tract Procedures without CC/MCC), under the surgical categories “Major Small and Large Bowel Procedures”, “Other Kidney and Urinary Tract 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
NSigmoid Colon

Includes: Rectosigmoid junction; Sigmoid flexure

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

Different qualifier

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

ICD-9-CM equivalent

Converter →
  • 17.36Laparoscopic sigmoidectomyexact

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 0DTN4ZZ

Is 0DTN4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0DTN4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DTN4ZZ an O.R. procedure?

Yes. 0DTN4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DTN4ZZ group to?

Depending on the principal diagnosis, 0DTN4ZZ can group to MS-DRG 329, MS-DRG 330, MS-DRG 331, MS-DRG 673, MS-DRG 674 and MS-DRG 675.

What is the ICD-9 procedure code for 0DTN4ZZ?

The CMS GEMs map 0DTN4ZZ to ICD-9-CM 17.36 (Laparoscopic sigmoidectomy).