0D5M3ZZ ICD-10-PCS Code: Destruction of Descending Colon, Percutaneous Approach
Axis Breakdown
Every ICD-10-PCS code is exactly seven characters, one per axis. Each character's meaning is defined by its position in the code.
| Position | Value | Meaning |
|---|---|---|
| 1 | Section0 | Medical and Surgical |
| 2 | Body SystemD | Gastrointestinal System |
| 3 | Root Operation5 | Destruction Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent |
| 4 | Body PartM | Descending Colon |
| 5 | Approach3 | Percutaneous |
| 6 | DeviceZ | No Device |
| 7 | QualifierZ | No Qualifier |
MS-DRG Grouper Relationships (FY2026)
Potential MS-DRG participation — not a DRG assignment.
The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 9 MS-DRGs:
- MDC 06 — Minor Small and Large Bowel Procedures: DRG 344, DRG 345, DRG 346
- MDC 17 — Lymphoma and Leukemia with Major O.R. Procedures: DRG 820, DRG 821, DRG 822
- MDC 17 — Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures: DRG 826, DRG 827, DRG 828
From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.
Related Codes
Same operation — other Body Part
Same table and root operation, differing only in the body part character.
0D5H3ZZ — Destruction of Cecum, Percutaneous Approach, 0D5J3ZZ — Destruction of Appendix, Percutaneous Approach, 0D5K3ZZ — Destruction of Ascending Colon, Percutaneous Approach, 0D5L3ZZ — Destruction of Transverse Colon, Percutaneous Approach, 0D5N3ZZ — Destruction of Sigmoid Colon, Percutaneous Approach, 0D5P3ZZ — Destruction of Rectum, Percutaneous Approach, 0D5Q3ZZ — Destruction of Anus, Percutaneous Approach, 0D5R3ZZ — Destruction of Anal Sphincter, Percutaneous Approach, +18 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
0D5M0ZZ — Destruction of Descending Colon, Open Approach, 0D5M4ZZ — Destruction of Descending Colon, Percutaneous Endoscopic Approach, 0D5M7ZZ — Destruction of Descending Colon, Via Natural or Artificial Opening, 0D5M8ZZ — Destruction of Descending Colon, Via Natural or Artificial Opening Endoscopic
Same operation — other Qualifier
Same table and root operation, differing only in the qualifier character.
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under GI system endoscopic therapeutic procedures (Gastrointestinal System Procedures); listed here are the members in other PCS tables. Source: Clinical Classifications Software Refined (CCSR), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, November 2025.
0DB13ZZ — Excision of Upper Esophagus, Percutaneous Approach, 0DB17ZZ — Excision of Upper Esophagus, Via Natural or Artificial Opening, 0DB18ZZ — Excision of Upper Esophagus, Via Natural or Artificial Opening Endoscopic, 0DB23ZZ — Excision of Middle Esophagus, Percutaneous Approach, 0DB27ZZ — Excision of Middle Esophagus, Via Natural or Artificial Opening, 0DB28ZZ — Excision of Middle Esophagus, Via Natural or Artificial Opening Endoscopic, 0DB33ZZ — Excision of Lower Esophagus, Percutaneous Approach, 0DB37ZZ — Excision of Lower Esophagus, Via Natural or Artificial Opening, 0DB38ZZ — Excision of Lower Esophagus, Via Natural or Artificial Opening Endoscopic, 0DB43ZZ — Excision of Esophagogastric Junction, Percutaneous Approach, 0DB47ZZ — Excision of Esophagogastric Junction, Via Natural or Artificial Opening, 0DB48ZZ — Excision of Esophagogastric Junction, Via Natural or Artificial Opening Endoscopic, 0DB53ZZ — Excision of Esophagus, Percutaneous Approach, 0DB57ZZ — Excision of Esophagus, Via Natural or Artificial Opening, 0DB58ZZ — Excision of Esophagus, Via Natural or Artificial Opening Endoscopic, 0DB63Z3 — Excision of Stomach, Percutaneous Approach, Vertical, 0DB63ZZ — Excision of Stomach, Percutaneous Approach, 0DB67Z3 — Excision of Stomach, Via Natural or Artificial Opening, Vertical, 0DB67ZZ — Excision of Stomach, Via Natural or Artificial Opening, 0DB68Z3 — Excision of Stomach, Via Natural or Artificial Opening Endoscopic, Vertical, +100 more
Contextual Map
Every relationship of 0D5M3ZZ in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run 0D5M3ZZ with these 5 related codes in Claim Check
PCS table
- 0D5[PCS table]— CMS ICD-10-PCS tables
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
- Gastrointestinal System — Body System: Gastrointestinal System[Body System]: “Gastrointestinal System”— CMS ICD-10-PCS tables
- Destruction — Operation: Destruction[Operation]: “Destruction”— CMS ICD-10-PCS tables
MS-DRG participation (9)
- DRG 344 — MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC[MS-DRG]: “MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC — Minor Small and Large Bowel Procedures (MDC 06)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 345 — MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC[MS-DRG]: “MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC — Minor Small and Large Bowel Procedures (MDC 06)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 346 — MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC[MS-DRG]: “MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC — Minor Small and Large Bowel Procedures (MDC 06)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 820 — LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC[MS-DRG]: “LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC — Lymphoma and Leukemia with Major O.R. Procedures (MDC 17)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 821 — LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC[MS-DRG]: “LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC — Lymphoma and Leukemia with Major O.R. Procedures (MDC 17)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 822 — LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC[MS-DRG]: “LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC — Lymphoma and Leukemia with Major O.R. Procedures (MDC 17)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 826 — MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC[MS-DRG]: “MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC — Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures (MDC 17)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 827 — MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC[MS-DRG]: “MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC — Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures (MDC 17)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- and 1 more
Clinical classification (CCSR)
- GIS016 — GI system endoscopic therapeutic procedures[CCSR category]: “GI system endoscopic therapeutic procedures — Gastrointestinal System Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
MDC crossing · diagnoses (1860)
- MDC 06 — Diseases and Disorders of the Digestive System[MDC crossing]: “Diseases and Disorders of the Digestive System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2026
- MDC 17 — Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms[MDC crossing]: “Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2026
- A00.0 — Cholera due to Vibrio cholerae 01, biovar cholerae[Same-MDC diagnosis]: “Cholera due to Vibrio cholerae 01, biovar cholerae — grouped in MDC 06, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A00.1 — Cholera due to Vibrio cholerae 01, biovar eltor[Same-MDC diagnosis]: “Cholera due to Vibrio cholerae 01, biovar eltor — grouped in MDC 06, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A00.9 — Cholera, unspecified[Same-MDC diagnosis]: “Cholera, unspecified — grouped in MDC 06, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A02.0 — Salmonella enteritis[Same-MDC diagnosis]: “Salmonella enteritis — grouped in MDC 06, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A03.0 — Shigellosis due to Shigella dysenteriae[Same-MDC diagnosis]: “Shigellosis due to Shigella dysenteriae — grouped in MDC 06, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- and 1855 more
Nearest codes
- 0D513ZZ — Destruction of Upper Esophagus, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0D523ZZ — Destruction of Middle Esophagus, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0D533ZZ — Destruction of Lower Esophagus, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0D543ZZ — Destruction of Esophagogastric Junction, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0D553ZZ — Destruction of Esophagus, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0D563ZZ — Destruction of Stomach, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0D573ZZ — Destruction of Stomach, Pylorus, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0D583ZZ — Destruction of Small Intestine, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
Change history
No changes recorded for this code. This ledger tracks additions, deletions and description changes from FY2026 (April) onward. Note changes are not tracked.
Read from: CMS ICD-10-PCS code tables, index and definitions — FY2026 (April); CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43; AHRQ HCUP Clinical Classifications Software Refined for ICD-10-PCS Procedures (hcup-us.ahrq.gov/toolssoftware/ccsr/PRCCSR_v2026-1.zip) — v2026.1. All data sources · How to read the labels