ICD-10-PCS 2027 procedure code
0DTN4ZGResection of Sigmoid Colon, Percutaneous Endoscopic Approach, Hand-Assisted
Short description: Resection of Sigmoid Colon, Perc Endo Approach, Hnd-Asist
Code last changed in FY2024 (effective October 1, 2023). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data
About 0DTN4ZG
0DTN4ZG is the ICD-10-PCS code for a resection procedure on the sigmoid colon using a percutaneous endoscopic approach (qualifier: hand-assisted). In ICD-10-PCS, resection means cutting out or off, without replacement, all of a body part.
For a different body part, codes include 0DTF4ZG (right large intestine), 0DTG4ZG (left large intestine), 0DTJ4ZG (appendix), 0DTL4ZG (transverse colon) and 0DTM4ZG (descending colon).
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 673 (Other Kidney and Urinary Tract Procedures with MCC), DRG 674 (Other Kidney and Urinary Tract Procedures with CC) and DRG 675 (Other Kidney and Urinary Tract Procedures without CC/MCC), under the surgical categories “Major Small and Large Bowel Procedures”, “Other Kidney and Urinary Tract Procedures”, “Lymphoma and Leukemia with Major O.R. Procedures” and 3 more.
It was added in FY2024, effective October 1, 2023.
What each character means
- 1. Section
- 0Medical and Surgical
- 2. Body System
- DGastrointestinal System
- 3. Operation
- TResection
Cutting out or off, without replacement, all of a body part
Includes: Total nephrectomy, total lobectomy of lung
- 4. Body Part
- NSigmoid Colon
Includes: Rectosigmoid junction; Sigmoid flexure
- 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
- GHand-Assisted
Other versions of this procedure
Different body part
Different qualifier
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 06 · Diseases and Disorders of the Digestive System · Major Small and Large Bowel Procedures
MDC 11 · Diseases and Disorders of the Kidney and Urinary Tract · Other Kidney and Urinary Tract Procedures
MDC 17 · Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms · Lymphoma and Leukemia with Major O.R. Procedures
MDC 17 · Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms · Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
- 826Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCCRW 4.7581
- 827Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with CCRW 2.3896
- 828Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures without CC/MCCRW 1.6955
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2024 (effective 10/1/2023): Added
- No changes since FY2024.
Common questions about 0DTN4ZG
Is 0DTN4ZG a valid ICD-10-PCS code for 2027?
- Yes. 0DTN4ZG is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0DTN4ZG an O.R. procedure?
- Yes. 0DTN4ZG is an O.R. procedure in MS-DRG v44.0.
What DRG does 0DTN4ZG group to?
- Depending on the principal diagnosis, 0DTN4ZG can group to MS-DRG 329, MS-DRG 330, MS-DRG 331, MS-DRG 673, MS-DRG 674 and MS-DRG 675.