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Inpatient Procedure Code

0DTG4ZG ICD-10-PCS Code: Resection of Left Large Intestine, Percutaneous Endoscopic Approach, Hand-Assisted

Resection of L Lg Intest, Perc Endo Approach, Hnd-Asist

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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 OperationT

Resection

Cutting out or off, without replacement, all of a body part

4
Body PartG

Large Intestine, Left

5
Approach4

Percutaneous Endoscopic

6
DeviceZ

No Device

7
QualifierG

Hand-Assisted

MS-DRG Grouper Relationships (FY2027)

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 18 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.

0DTF4ZG — Resection of Right Large Intestine, Percutaneous Endoscopic Approach, Hand-Assisted, 0DTJ4ZG — Resection of Appendix, Percutaneous Endoscopic Approach, Hand-Assisted, 0DTL4ZG — Resection of Transverse Colon, Percutaneous Endoscopic Approach, Hand-Assisted, 0DTM4ZG — Resection of Descending Colon, Percutaneous Endoscopic Approach, Hand-Assisted, 0DTN4ZG — Resection of Sigmoid Colon, Percutaneous Endoscopic Approach, Hand-Assisted

Same operation — other Qualifier

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

0DTG4ZZ — Resection of Left Large Intestine, 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 Colectomy (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.

0DBGFZZ — Excision of Left Large Intestine, Via Natural or Artificial Opening With Percutaneous Endoscopic Assistance, 0DBH0ZZ — Excision of Cecum, Open Approach, 0DBH4ZZ — Excision of Cecum, Percutaneous Endoscopic Approach, 0DBJ0ZZ — Excision of Appendix, Open Approach, 0DBJ4ZG — Excision of Appendix, Percutaneous Endoscopic Approach, Hand-Assisted, 0DBJ4ZZ — Excision of Appendix, Percutaneous Endoscopic Approach, 0DBK0ZZ — Excision of Ascending Colon, Open Approach, 0DBK4ZZ — Excision of Ascending Colon, Percutaneous Endoscopic Approach, 0DBL0ZZ — Excision of Transverse Colon, Open Approach, 0DBL4ZG — Excision of Transverse Colon, Percutaneous Endoscopic Approach, Hand-Assisted, 0DBL4ZZ — Excision of Transverse Colon, Percutaneous Endoscopic Approach, 0DBLFZZ — Excision of Transverse Colon, Via Natural or Artificial Opening With Percutaneous Endoscopic Assistance, 0DBM0ZZ — Excision of Descending Colon, Open Approach, 0DBM4ZG — Excision of Descending Colon, Percutaneous Endoscopic Approach, Hand-Assisted, 0DBM4ZZ — Excision of Descending Colon, Percutaneous Endoscopic Approach, 0DBMFZZ — Excision of Descending Colon, Via Natural or Artificial Opening With Percutaneous Endoscopic Assistance, 0DBN0ZZ — Excision of Sigmoid Colon, Open Approach, 0DBN4ZG — Excision of Sigmoid Colon, Percutaneous Endoscopic Approach, Hand-Assisted, 0DBN4ZZ — Excision of Sigmoid Colon, Percutaneous Endoscopic Approach, 0DBNFZZ — Excision of Sigmoid Colon, Via Natural or Artificial Opening With Percutaneous Endoscopic Assistance, +50 more

Contextual Map

Every relationship of 0DTG4ZG 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 0DTG4ZG with these 5 related codes in Claim Check

PCS table

MS-DRG participation (18)

Clinical classification (CCSR)

  • GIS009 — Colectomy[CCSR category]: “Colectomy — Gastrointestinal System Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1

MDC crossing · diagnoses (2498)

  • 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 · FY2027
  • MDC 10 — Endocrine, Nutritional and Metabolic Diseases and Disorders[MDC crossing]: “Endocrine, Nutritional and Metabolic Diseases and Disorders — 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 · FY2027
  • 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) · FY2027
  • 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) · FY2027
  • 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) · FY2027
  • 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) · FY2027
  • 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) · FY2027
  • and 2493 more

Nearest codes

Change history

Change history

  • FY2024 (April) — April 1, 2024
    Added to the code set
    Resection of Left Large Intestine, Percutaneous Endoscopic Approach, Hand-Assisted
    FY2024 (April) changes

Read from: CMS ICD-10-PCS code tables, index and definitions — FY2027; CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44; 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 · How MedCoder verifies its implementation

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources