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ICD-10-PCS 2027 procedure code

0DJD4ZZInspection of Lower Intestinal Tract, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Inspection of Lower Intestinal Tract, Perc Endo Approach

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 0DJD4ZZ

0DJD4ZZ is the ICD-10-PCS code for a inspection procedure on the lower intestinal tract using a percutaneous endoscopic approach. In ICD-10-PCS, inspection means visually and/or manually exploring a body part.

In plain terms, this corresponds to Transabdominal endoscopy of small intestine, Transabdominal endoscopy of large intestine and Transabdominal proctosigmoidoscopy, the ICD-9-CM procedure titles it maps to (45.11, 45.21 and 48.21).

For a different body part, codes include 0DJ04ZZ (upper intestinal tract), 0DJ64ZZ (stomach), 0DJU4ZZ (omentum), 0DJV4ZZ (mesentery) and 0DJW4ZZ (peritoneum).

The same procedure with a different approach is coded 0DJD0ZZ (open), 0DJD3ZZ (percutaneous), 0DJD7ZZ (via natural or artificial opening), 0DJD8ZZ (via natural or artificial opening endoscopic) and 0DJDXZZ (external).

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 820 (Lymphoma and Leukemia with Major O.R. Procedures with MCC), DRG 821 (Lymphoma and Leukemia with Major O.R. Procedures with CC) and DRG 822 (Lymphoma and Leukemia with Major O.R. Procedures without CC/MCC), under the surgical categories “Minor Small and Large Bowel Procedures”, “Lymphoma and Leukemia with Major O.R. Procedures”, “Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures” and 2 more.

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
JInspection

Visually and/or manually exploring a body part

Visual exploration may be performed with or without optical instrumentation. Manual exploration may be performed directly or through intervening body layers

Includes: Diagnostic arthroscopy, exploratory laparotomy

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
ZNo Device
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 →
  • 45.11Transabdominal endoscopy of small intestineapproximate
  • 45.21Transabdominal endoscopy of large intestineapproximate
  • 48.21Transabdominal proctosigmoidoscopyapproximate

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 0DJD4ZZ

Is 0DJD4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0DJD4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DJD4ZZ an O.R. procedure?

Yes. 0DJD4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DJD4ZZ group to?

Depending on the principal diagnosis, 0DJD4ZZ can group to MS-DRG 344, MS-DRG 345, MS-DRG 346, MS-DRG 820, MS-DRG 821 and MS-DRG 822.

What is the ICD-9 procedure code for 0DJD4ZZ?

The CMS GEMs map 0DJD4ZZ to ICD-9-CM 45.11 (Transabdominal endoscopy of small intestine), 45.21 (Transabdominal endoscopy of large intestine) and 48.21 (Transabdominal proctosigmoidoscopy).