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
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 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:
- MDC 06 — Major Small and Large Bowel Procedures: DRG 329, DRG 330, DRG 331
- MDC 10 — Other Endocrine, Nutritional and Metabolic O.R. Procedures: DRG 628, DRG 629, DRG 630
- 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
- MDC 21 — Other O.R. Procedures for Injuries: DRG 907, DRG 908, DRG 909
- MDC 24 — Other O.R. Procedures for Multiple Significant Trauma: DRG 957, DRG 958, DRG 959
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
- 0DT[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
- Resection — Operation: Resection[Operation]: “Resection”— CMS ICD-10-PCS tables
MS-DRG participation (18)
- 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) · FY2027
- 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) · FY2027
- 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) · FY2027
- DRG 628 — OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC OR INSERTION OF ANTIBIOTIC-ELUTING BONE VOID FILLER[MS-DRG]: “OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC OR INSERTION OF ANTIBIOTIC-ELUTING BONE VOID FILLER — Other Endocrine, Nutritional and Metabolic O.R. Procedures (MDC 10)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 629 — OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC[MS-DRG]: “OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC — Other Endocrine, Nutritional and Metabolic O.R. Procedures (MDC 10)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 630 — OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC[MS-DRG]: “OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC — Other Endocrine, Nutritional and Metabolic O.R. Procedures (MDC 10)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- 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) · FY2027
- 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) · FY2027
- and 10 more
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
- 0DTF4ZG — Resection of Right Large Intestine, Percutaneous Endoscopic Approach, Hand-Assisted[One axis away]— CMS ICD-10-PCS tables
- 0DTG4ZZ — Resection of Left Large Intestine, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0DTJ4ZG — Resection of Appendix, Percutaneous Endoscopic Approach, Hand-Assisted[One axis away]— CMS ICD-10-PCS tables
- 0DTL4ZG — Resection of Transverse Colon, Percutaneous Endoscopic Approach, Hand-Assisted[One axis away]— CMS ICD-10-PCS tables
- 0DTM4ZG — Resection of Descending Colon, Percutaneous Endoscopic Approach, Hand-Assisted[One axis away]— CMS ICD-10-PCS tables
- 0DTN4ZG — Resection of Sigmoid Colon, Percutaneous Endoscopic Approach, Hand-Assisted[One axis away]— CMS ICD-10-PCS tables
Change history
- FY2024 (April) — Added to the code set[Change history]— CMS release files (code change ledger) · icd10pcs-fy2024apr
Change history
- FY2024 (April) — April 1, 2024Added to the code setResection of Left Large Intestine, Percutaneous Endoscopic Approach, Hand-AssistedFY2024 (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