0D7N4ZZ ICD-10-PCS Code: Dilation of Sigmoid Colon, Percutaneous Endoscopic Approach

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 3 MS-DRGs:

• MDC 06 — Major Small and Large Bowel Procedures: DRG 329, DRG 330, DRG 331

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.

0D7F4ZZ — Dilation of Right Large Intestine, Percutaneous Endoscopic Approach, 0D7G4ZZ — Dilation of Left Large Intestine, Percutaneous Endoscopic Approach, 0D7H4ZZ — Dilation of Cecum, Percutaneous Endoscopic Approach, 0D7K4ZZ — Dilation of Ascending Colon, Percutaneous Endoscopic Approach, 0D7L4ZZ — Dilation of Transverse Colon, Percutaneous Endoscopic Approach, 0D7M4ZZ — Dilation of Descending Colon, Percutaneous Endoscopic Approach, 0D7P4ZZ — Dilation of Rectum, Percutaneous Endoscopic Approach, 0D7Q4ZZ — Dilation of Anus, Percutaneous Endoscopic Approach, +13 more

Same operation — other Approach

Same table and root operation, differing only in the approach character.

0D7N0ZZ — Dilation of Sigmoid Colon, Open Approach, 0D7N3ZZ — Dilation of Sigmoid Colon, Percutaneous Approach, 0D7N7ZZ — Dilation of Sigmoid Colon, Via Natural or Artificial Opening, 0D7N8ZZ — Dilation of Sigmoid Colon, Via Natural or Artificial Opening Endoscopic

Same operation — other Device

Same table and root operation, differing only in the device character.

0D7N4DZ — Dilation of Sigmoid Colon with Intraluminal Device, Percutaneous Endoscopic Approach

Same procedure category (CCSR), other tables

AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Lower GI therapeutic procedures, NEC (open and laparoscopic) (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.

0D1N0ZN — Bypass Sigmoid Colon to Sigmoid Colon, Open Approach, 0D1N0ZP — Bypass Sigmoid Colon to Rectum, Open Approach, 0D1N47N — Bypass Sigmoid Colon to Sigmoid Colon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 0D1N47P — Bypass Sigmoid Colon to Rectum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 0D1N4JN — Bypass Sigmoid Colon to Sigmoid Colon with Synthetic Substitute, Percutaneous Endoscopic Approach, 0D1N4JP — Bypass Sigmoid Colon to Rectum with Synthetic Substitute, Percutaneous Endoscopic Approach, 0D1N4KN — Bypass Sigmoid Colon to Sigmoid Colon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 0D1N4KP — Bypass Sigmoid Colon to Rectum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 0D1N4ZN — Bypass Sigmoid Colon to Sigmoid Colon, Percutaneous Endoscopic Approach, 0D1N4ZP — Bypass Sigmoid Colon to Rectum, Percutaneous Endoscopic Approach, 0D8R0ZZ — Division of Anal Sphincter, Open Approach, 0DCC0ZZ — Extirpation of Matter from Ileocecal Valve, Open Approach, 0DCC4ZZ — Extirpation of Matter from Ileocecal Valve, Percutaneous Endoscopic Approach, 0DCE0ZZ — Extirpation of Matter from Large Intestine, Open Approach, 0DCE4ZZ — Extirpation of Matter from Large Intestine, Percutaneous Endoscopic Approach, 0DCF0ZZ — Extirpation of Matter from Right Large Intestine, Open Approach, 0DCF4ZZ — Extirpation of Matter from Right Large Intestine, Percutaneous Endoscopic Approach, 0DCG0ZZ — Extirpation of Matter from Left Large Intestine, Open Approach, 0DCG4ZZ — Extirpation of Matter from Left Large Intestine, Percutaneous Endoscopic Approach, 0DCH0ZZ — Extirpation of Matter from Cecum, Open Approach, +387 more

Contextual Map

Every relationship of 0D7N4ZZ 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 0D7N4ZZ with these 5 related codes in Claim Check

PCS table

• 0D7[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
• Dilation — Operation: Dilation[Operation]: “Dilation”— CMS ICD-10-PCS tables

MS-DRG participation

• DRG 329 — MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC[MS-DRG]: “MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC — Major Small and Large Bowel Procedures (MDC 06)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 330 — MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC[MS-DRG]: “MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC — Major Small and Large Bowel Procedures (MDC 06)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 331 — MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC[MS-DRG]: “MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC — Major Small and Large Bowel Procedures (MDC 06)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026

Clinical classification (CCSR)

• GIS028 — Lower GI therapeutic procedures, NEC (open and laparoscopic)[CCSR category]: “Lower GI therapeutic procedures, NEC (open and laparoscopic) — Gastrointestinal System Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1

MDC crossing · diagnoses (1195)

• 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
• 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 1190 more

Nearest codes

• 0D714ZZ — Dilation of Upper Esophagus, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 0D724ZZ — Dilation of Middle Esophagus, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 0D734ZZ — Dilation of Lower Esophagus, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 0D744ZZ — Dilation of Esophagogastric Junction, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 0D754ZZ — Dilation of Esophagus, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 0D764ZZ — Dilation of Stomach, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 0D774ZZ — Dilation of Stomach, Pylorus, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 0D784ZZ — Dilation of Small Intestine, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables