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ICD-10-PCS 2027 procedure code

0DVM4ZZRestriction of Descending Colon, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Restriction of Descending Colon, Perc Endo Approach

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 0DVM4ZZ

0DVM4ZZ is the ICD-10-PCS code for a restriction procedure on the descending colon using a percutaneous endoscopic approach. In ICD-10-PCS, restriction means partially closing an orifice or the lumen of a tubular body part.

In plain terms, this corresponds to other repair of intestine, the ICD-9-CM procedure title it maps to (46.79).

For a different body part, codes include 0DV14ZZ (esophagus, upper), 0DV24ZZ (esophagus, middle), 0DV34ZZ (esophagus, lower), 0DV44ZZ (esophagogastric junction), 0DV54ZZ (esophagus), 0DV64ZZ (stomach) and 15 more.

The same procedure with a different approach is coded 0DVM0ZZ (open), 0DVM3ZZ (percutaneous), 0DVM7ZZ (via natural or artificial opening) and 0DVM8ZZ (via natural or artificial opening endoscopic).

With a different device, use 0DVM4CZ (extraluminal device) and 0DVM4DZ (intraluminal device).

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 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC) and DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), under the surgical categories “Major Small and Large Bowel Procedures” and “Other O.R. Procedures for Injuries”.

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
VRestriction

Partially closing an orifice or the lumen of a tubular body part

The orifice can be a natural orifice or an artificially created orifice

Includes: Esophagogastric fundoplication, cervical cerclage

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
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 →
  • 46.79Other repair of intestineapproximate

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 0DVM4ZZ

Is 0DVM4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0DVM4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DVM4ZZ an O.R. procedure?

Yes. 0DVM4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DVM4ZZ group to?

Depending on the principal diagnosis, 0DVM4ZZ can group to MS-DRG 329, MS-DRG 330, MS-DRG 331, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0DVM4ZZ?

The CMS GEMs map 0DVM4ZZ to ICD-9-CM 46.79 (Other repair of intestine).