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ICD-10-PCS 2027 procedure code

0D5N8ZZDestruction of Sigmoid Colon, Via Natural or Artificial Opening Endoscopic

✓ Valid for 2027

Short description: Destruction of Sigmoid Colon, 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 0D5N8ZZ

0D5N8ZZ is the ICD-10-PCS code for a destruction procedure on the sigmoid colon using a via natural or artificial opening endoscopic approach. In ICD-10-PCS, destruction means physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent.

In plain terms, this corresponds to endoscopic destruction of other lesion or tissue of large intestine, the ICD-9-CM procedure title it maps to (45.43).

For a different body part, codes include 0D518ZZ (esophagus, upper), 0D528ZZ (esophagus, middle), 0D538ZZ (esophagus, lower), 0D548ZZ (esophagogastric junction), 0D558ZZ (esophagus), 0D568ZZ (stomach) and 16 more.

The same procedure with a different approach is coded 0D5N0ZZ (open), 0D5N3ZZ (percutaneous), 0D5N4ZZ (percutaneous endoscopic) and 0D5N7ZZ (via natural or artificial opening).

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

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
5Destruction

Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent

None of the body part is physically taken out

Includes: Fulguration of rectal polyp, cautery of skin lesion

4. Body Part
NSigmoid Colon

Includes: Rectosigmoid junction; Sigmoid flexure

5. Approach
8Via Natural or Artificial Opening Endoscopic

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

6. Device
ZNo Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

ICD-9-CM equivalent

Converter →
  • 45.43Endoscopic destruction of other lesion or tissue 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 0D5N8ZZ

Is 0D5N8ZZ a valid ICD-10-PCS code for 2027?

Yes. 0D5N8ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 0D5N8ZZ?

The CMS GEMs map 0D5N8ZZ to ICD-9-CM 45.43 (Endoscopic destruction of other lesion or tissue of large intestine).