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Inpatient Procedure Code

0DPD4JZICD-10-PCS Code: Removal of Synthetic Substitute from Lower Intestinal Tract, Percutaneous Endoscopic Approach

Remove Synth Sub from Low Intest Tract, Perc Endo

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.

PositionValueMeaning
1
Section0

Medical and Surgical

2
Body SystemD

Gastrointestinal System

3
Root OperationP

Removal

Taking out or off a device from a body part

4
Body PartD

Lower Intestinal Tract

5
Approach4

Percutaneous Endoscopic

6
DeviceJ

Synthetic Substitute

7
QualifierZ

No Qualifier

Potential MS-DRG Relationships (FY2026)

The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 6 MS-DRGs:

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.

0DP04JZ — Removal of Synthetic Substitute from Upper Intestinal Tract, Percutaneous Endoscopic Approach, 0DP64JZ — Removal of Synthetic Substitute from Stomach, Percutaneous Endoscopic Approach, 0DPU4JZ — Removal of Synthetic Substitute from Omentum, Percutaneous Endoscopic Approach, 0DPV4JZ — Removal of Synthetic Substitute from Mesentery, Percutaneous Endoscopic Approach, 0DPW4JZ — Removal of Synthetic Substitute from Peritoneum, Percutaneous Endoscopic Approach

Same operation — other Approach

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

0DPD0JZ — Removal of Synthetic Substitute from Lower Intestinal Tract, Open Approach, 0DPD3JZ — Removal of Synthetic Substitute from Lower Intestinal Tract, Percutaneous Approach, 0DPD7JZ — Removal of Synthetic Substitute from Lower Intestinal Tract, Via Natural or Artificial Opening, 0DPD8JZ — Removal of Synthetic Substitute from Lower Intestinal Tract, Via Natural or Artificial Opening Endoscopic

Same operation — other Device

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

0DPD42Z — Removal of Monitoring Device from Lower Intestinal Tract, Percutaneous Endoscopic Approach, 0DPD43Z — Removal of Infusion Device from Lower Intestinal Tract, Percutaneous Endoscopic Approach, 0DPD47Z — Removal of Autologous Tissue Substitute from Lower Intestinal Tract, Percutaneous Endoscopic Approach, 0DPD4CZ — Removal of Extraluminal Device from Lower Intestinal Tract, Percutaneous Endoscopic Approach, 0DPD4DZ — Removal of Intraluminal Device from Lower Intestinal Tract, Percutaneous Endoscopic Approach, 0DPD4KZ — Removal of Nonautologous Tissue Substitute from Lower Intestinal Tract, Percutaneous Endoscopic Approach, 0DPD4UZ — Removal of Feeding Device from Lower Intestinal Tract, Percutaneous Endoscopic Approach, 0DPD4YZ — Removal of Other Device from Lower Intestinal Tract, Percutaneous Endoscopic Approach, +1 more

Contextual Map

Every relationship of 0DPD4JZ 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.

PCS table

  • 0DP[PCS table]
  • Medical and Surgical — Section: Medical and Surgical [Section]: “Medical and Surgical”
  • Gastrointestinal System — Body System: Gastrointestinal System [Body System]: “Gastrointestinal System”
  • Removal — Operation: Removal [Operation]: “Removal”

MS-DRG participation

  • 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)”
  • 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)”
  • 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)”
  • DRG 907 — OTHER O.R. PROCEDURES FOR INJURIES WITH MCC [MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH MCC — Other O.R. Procedures for Injuries (MDC 21)”
  • DRG 908 — OTHER O.R. PROCEDURES FOR INJURIES WITH CC [MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH CC — Other O.R. Procedures for Injuries (MDC 21)”
  • DRG 909 — OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC [MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC — Other O.R. Procedures for Injuries (MDC 21)”

MDC crossing · diagnoses (7589)

  • 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.”
  • MDC 21 — Injuries, Poisonings and Toxic Effects of Drugs [MDC crossing]: “Injuries, Poisonings and Toxic Effects of Drugs — 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.”
  • 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.” · check together
  • 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.” · check together
  • A00.9 — Cholera, unspecified [Same-MDC diagnosis]: “Cholera, unspecified — grouped in MDC 06, the diagnosis side of this code's crossing.” · check together
  • A02.0 — Salmonella enteritis [Same-MDC diagnosis]: “Salmonella enteritis — grouped in MDC 06, the diagnosis side of this code's crossing.” · check together
  • 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.” · check together
  • and 7584 more

Nearest codes

  • 0DP04JZ — Removal of Synthetic Substitute from Upper Intestinal Tract, Percutaneous Endoscopic Approach [One axis away]
  • 0DP64JZ — Removal of Synthetic Substitute from Stomach, Percutaneous Endoscopic Approach [One axis away]
  • 0DPD0JZ — Removal of Synthetic Substitute from Lower Intestinal Tract, Open Approach [One axis away]
  • 0DPD3JZ — Removal of Synthetic Substitute from Lower Intestinal Tract, Percutaneous Approach [One axis away]
  • 0DPD40Z — Removal of Drainage Device from Lower Intestinal Tract, Percutaneous Endoscopic Approach [One axis away]
  • 0DPD42Z — Removal of Monitoring Device from Lower Intestinal Tract, Percutaneous Endoscopic Approach [One axis away]
  • 0DPD43Z — Removal of Infusion Device from Lower Intestinal Tract, Percutaneous Endoscopic Approach [One axis away]
  • 0DPD47Z — Removal of Autologous Tissue Substitute from Lower Intestinal Tract, Percutaneous Endoscopic Approach [One axis away]

Change history

No changes recorded for this code — unchanged since the FY2026 (April) baseline of the change ledger.