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ICD-10-PCS 2027 procedure code

0DWD43ZRevision of Infusion Device in Lower Intestinal Tract, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Revise Infusion Dev in Low Intest Tract, Perc Endo

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 0DWD43Z

0DWD43Z is the ICD-10-PCS code for a revision procedure on the lower intestinal tract using a percutaneous endoscopic approach with infusion device. In ICD-10-PCS, revision means correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device.

In plain terms, this corresponds to incision of large intestine, the ICD-9-CM procedure title it maps to (45.03).

For a different body part, codes include 0DW043Z (upper intestinal tract) and 0DW643Z (stomach).

The same procedure with a different approach is coded 0DWD03Z (open), 0DWD33Z (percutaneous), 0DWD73Z (via natural or artificial opening), 0DWD83Z (via natural or artificial opening endoscopic) and 0DWDX3Z (external).

With a different device, use 0DWD40Z (drainage device), 0DWD42Z (monitoring device), 0DWD47Z (autologous tissue substitute), 0DWD4CZ (extraluminal device), 0DWD4DZ (intraluminal device), 0DWD4JZ (synthetic substitute) and 3 more.

It is an operating-room procedure in the MS-DRG logic for DRG 344 (Minor Small and Large Bowel Procedures with MCC), DRG 345 (Minor Small and Large Bowel Procedures with CC), DRG 346 (Minor 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 “Minor 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
WRevision

Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device

Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as a screw or pin

Includes: Adjustment of position of pacemaker lead, recementing of hip prosthesis

4. Body Part
DLower Intestinal Tract
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
3Infusion Device

Includes: Ascenda Intrathecal Catheter; InDura, intrathecal catheter (1P) (spinal); Non-tunneled central venous catheter; Peripherally inserted central catheter (PICC); Tunneled spinal (intrathecal) catheter

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 →
  • 45.03Incision of large 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 0DWD43Z

Is 0DWD43Z a valid ICD-10-PCS code for 2027?

Yes. 0DWD43Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DWD43Z an O.R. procedure?

Yes. 0DWD43Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DWD43Z group to?

Depending on the principal diagnosis, 0DWD43Z can group to MS-DRG 344, MS-DRG 345, MS-DRG 346, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0DWD43Z?

The CMS GEMs map 0DWD43Z to ICD-9-CM 45.03 (Incision of large intestine).