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ICD-10-PCS 2027 procedure code

0DWE77ZRevision of Autologous Tissue Substitute in Large Intestine, Via Natural or Artificial Opening

✓ Valid for 2027O.R. procedure

Short description: Revision of Autol Sub in Lg Intest, 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 0DWE77Z

0DWE77Z is the ICD-10-PCS code for a revision procedure on the large intestine using a via natural or artificial opening approach with autologous 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 revision of anastomosis of large intestine, the ICD-9-CM procedure title it maps to (46.94).

For a different body part, codes include 0DW077Z (upper intestinal tract), 0DW677Z (stomach), 0DW877Z (small intestine) and 0DWD77Z (lower intestinal tract).

The same procedure with a different approach is coded 0DWE07Z (open), 0DWE47Z (percutaneous endoscopic) and 0DWE87Z (via natural or artificial opening endoscopic).

With a different device, use 0DWE7JZ (synthetic substitute) and 0DWE7KZ (nonautologous tissue substitute).

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”, “Other O.R. Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.

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
ELarge Intestine
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
7Autologous Tissue Substitute

Includes: Autograft; Cultured epidermal cell autograft; Epicel(R) cultured epidermal autograft

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 →
  • 46.94Revision of anastomosis 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 0DWE77Z

Is 0DWE77Z a valid ICD-10-PCS code for 2027?

Yes. 0DWE77Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DWE77Z an O.R. procedure?

Yes. 0DWE77Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DWE77Z group to?

Depending on the principal diagnosis, 0DWE77Z 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 0DWE77Z?

The CMS GEMs map 0DWE77Z to ICD-9-CM 46.94 (Revision of anastomosis of large intestine).