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ICD-10-PCS 2027 procedure code

0DWD4YZRevision of Other Device in Lower Intestinal Tract, Percutaneous Endoscopic Approach

✓ Valid for 2027

Short description: Revision of Oth Dev in Low Intest Tract, Perc Endo Approach

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 0DWD4YZ

0DWD4YZ is the ICD-10-PCS code for a revision procedure on the lower intestinal tract using a percutaneous endoscopic approach with other 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 0DW04YZ (upper intestinal tract), 0DW54YZ (esophagus) and 0DW64YZ (stomach).

The same procedure with a different approach is coded 0DWD0YZ (open), 0DWD3YZ (percutaneous), 0DWD7YZ (via natural or artificial opening) and 0DWD8YZ (via natural or artificial opening endoscopic).

With a different device, use 0DWD40Z (drainage device), 0DWD42Z (monitoring device), 0DWD43Z (infusion device), 0DWD47Z (autologous tissue substitute), 0DWD4CZ (extraluminal device), 0DWD4DZ (intraluminal device) and 3 more.

It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.

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
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
YOther Device

Includes: Alfapump(R) system

7. Qualifier
ZNo Qualifier

Other versions of this procedure

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
  • FY2018 (effective 10/1/2017): Added
  • No changes since FY2018.

Common questions about 0DWD4YZ

Is 0DWD4YZ a valid ICD-10-PCS code for 2027?

Yes. 0DWD4YZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 0DWD4YZ?

The CMS GEMs map 0DWD4YZ to ICD-9-CM 45.03 (Incision of large intestine).