Skip to content
Dx

ICD-10-PCS 2027 procedure code

0DTNFZZResection of Sigmoid Colon, Via Natural or Artificial Opening With Percutaneous Endoscopic Assistance

✓ Valid for 2027O.R. procedure

Short description: Resection of Sigmoid 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 0DTNFZZ

0DTNFZZ is the ICD-10-PCS code for a resection procedure on the sigmoid 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 sigmoidectomy, the ICD-9-CM procedure title it maps to (45.76).

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

The same procedure with a different approach is coded 0DTN0ZZ (open), 0DTN4ZZ (percutaneous endoscopic), 0DTN7ZZ (via natural or artificial opening) and 0DTN8ZZ (via natural or artificial opening endoscopic).

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 820 (Lymphoma and Leukemia with Major O.R. Procedures with MCC), DRG 821 (Lymphoma and Leukemia with Major O.R. Procedures with CC) and DRG 822 (Lymphoma and Leukemia with Major O.R. Procedures without CC/MCC), under the surgical categories “Major Small and Large Bowel Procedures”, “Lymphoma and Leukemia with Major O.R. Procedures”, “Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures” and 2 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
NSigmoid Colon

Includes: Rectosigmoid junction; Sigmoid 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.

ICD-9-CM equivalent

Converter →
  • 45.76Open and other sigmoidectomyapproximate

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 0DTNFZZ

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

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

Is 0DTNFZZ an O.R. procedure?

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

What DRG does 0DTNFZZ group to?

Depending on the principal diagnosis, 0DTNFZZ can group to MS-DRG 329, MS-DRG 330, MS-DRG 331, MS-DRG 820, MS-DRG 821 and MS-DRG 822.

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

The CMS GEMs map 0DTNFZZ to ICD-9-CM 45.76 (Open and other sigmoidectomy).