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ICD-10-PCS 2027 procedure code

0DWD7KZRevision of Nonautologous Tissue Substitute in Lower Intestinal Tract, Via Natural or Artificial Opening

✓ Valid for 2027O.R. procedure

Short description: Revision of Nonaut Sub in Low Intest Tract, Via Opening

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 0DWD7KZ

0DWD7KZ is the ICD-10-PCS code for a revision procedure on the lower intestinal tract using a via natural or artificial opening approach with nonautologous tissue substitute. 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 0DW07KZ (upper intestinal tract), 0DW67KZ (stomach), 0DW87KZ (small intestine) and 0DWE7KZ (large intestine).

The same procedure with a different approach is coded 0DWD0KZ (open), 0DWD3KZ (percutaneous), 0DWD4KZ (percutaneous endoscopic), 0DWD8KZ (via natural or artificial opening endoscopic) and 0DWDXKZ (external).

With a different device, use 0DWD70Z (drainage device), 0DWD72Z (monitoring device), 0DWD73Z (infusion device), 0DWD77Z (autologous tissue substitute), 0DWD7CZ (extraluminal device), 0DWD7DZ (intraluminal device) 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
7Via Natural or Artificial Opening

Entry of instrumentation through a natural or artificial external opening to reach the site of the procedure

6. Device
KNonautologous Tissue Substitute

Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft

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 0DWD7KZ

Is 0DWD7KZ a valid ICD-10-PCS code for 2027?

Yes. 0DWD7KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DWD7KZ an O.R. procedure?

Yes. 0DWD7KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DWD7KZ group to?

Depending on the principal diagnosis, 0DWD7KZ 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 0DWD7KZ?

The CMS GEMs map 0DWD7KZ to ICD-9-CM 45.03 (Incision of large intestine).