ICD-10-PCS Code For Lower Intestinal Tract: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0D2D includes procedures performed to change devices in the lower intestinal tract. These ICD-10-PCS codes are used for inpatient documentation when a device already in place on the lower intestinal tract is removed and an identical or similar device is inserted without cutting or puncturing the skin or a mucous membrane. Accurate coding within the ICD-10-PCS 0D2D group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Lower Intestinal Tract Change Procedure Overview

This procedure group includes inpatient changes of devices on the lower intestinal tract within the gastrointestinal system. These procedures involve removing an existing device and inserting an identical or similar device without cutting or puncturing the skin or a mucous membrane. Accurate coding matters because it documents the specific device change and supports appropriate inpatient reimbursement and case mix assignment. Proper code selection ensures the procedure is captured correctly in the medical record and billing.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
D	Body System	Gastrointestinal System
2	Operation	Change
D	Body Part	Lower Intestinal Tract

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ICD-10-PCS Code For Lower Intestinal Tract: Procedure Code Group Overview

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Lower Intestinal Tract Change Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
D	Body System	Gastrointestinal System
2	Operation	Change
D	Body Part	Lower Intestinal Tract

When to Use

Use a code from this group when an existing device in the lower intestinal tract is removed and a like device is placed in the same location without cutting or puncturing the skin or a mucous membrane. Do not use these codes for procedures that involve opening the skin or mucous membranes, or for placement of a new device where none previously existed.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
0D2DX0Z	Change Drainage Device in Lower Intestinal Tract, External Approach
0D2DXUZ	Change Feeding Device in Lower Intestinal Tract, External Approach
0D2DXYZ	Change Other Device in Lower Intestinal Tract, External Approach

Typical Clinical Scenarios

An elderly nursing home resident with a long-standing external lower intestinal fecal management system develops device malfunction and leakage leading to perianal skin breakdown and recurrent fecal contamination of a pressure ulcer. The patient is admitted for inpatient wound care and device management because outpatient resources are exhausted and close monitoring is needed to protect the sacral wound; the existing external drainage device is removed and an identical external drainage device is placed at bedside without cutting the skin. Typical codes: 0D2DX0Z
A younger adult with chronic neurogenic bowel from spinal cord injury is scheduled for an elective replacement of a malfunctioning external colostomy irrigation or feeding-type access adapter used for antegrade enemas; the procedure is planned during an inpatient admission for bowel regimen optimization and training. Because the previously placed external device is removed and an identical external feeding-type device is reinserted without puncturing skin or mucosa, a code from this change group is appropriate. Typical codes: 0D2DXUZ
A hospitalized postoperative patient develops obstruction of an external lower intestinal drainage catheter placed after colorectal surgery; the catheter cannot be flushed and intermittent sepsis concerns prompt inpatient revision at the bedside. The care team removes the clogged external device and replaces it with a similar external drainage device without open incision or puncture, to restore decompression. Typical codes: 0D2DX0Z, 0D2DXYZ

Related Codes

0D20-UPPER-INTESTINAL-TRACT-CHANGE

ICD-10-PCS Code For Upper Intestinal Tract: Procedure Code Group Overview

0D2U-OMENTUM-CHANGE

ICD-10-PCS Code For Omentum: Procedure Code Group Overview

0D2V-MESENTERY-CHANGE

ICD-10-PCS Code For Mesentery: Procedure Code Group Overview

0D2W-PERITONEUM-CHANGE

ICD-10-PCS Code For Peritoneum: Procedure Code Group Overview

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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When to Use

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
0D2DX0Z	Change Drainage Device in Lower Intestinal Tract, External Approach
0D2DXUZ	Change Feeding Device in Lower Intestinal Tract, External Approach
0D2DXYZ	Change Other Device in Lower Intestinal Tract, External Approach

Typical Clinical Scenarios

An elderly nursing home resident with a long-standing external lower intestinal fecal management system develops device malfunction and leakage leading to perianal skin breakdown and recurrent fecal contamination of a pressure ulcer. The patient is admitted for inpatient wound care and device management because outpatient resources are exhausted and close monitoring is needed to protect the sacral wound; the existing external drainage device is removed and an identical external drainage device is placed at bedside without cutting the skin. Typical codes: 0D2DX0Z
A younger adult with chronic neurogenic bowel from spinal cord injury is scheduled for an elective replacement of a malfunctioning external colostomy irrigation or feeding-type access adapter used for antegrade enemas; the procedure is planned during an inpatient admission for bowel regimen optimization and training. Because the previously placed external device is removed and an identical external feeding-type device is reinserted without puncturing skin or mucosa, a code from this change group is appropriate. Typical codes: 0D2DXUZ
A hospitalized postoperative patient develops obstruction of an external lower intestinal drainage catheter placed after colorectal surgery; the catheter cannot be flushed and intermittent sepsis concerns prompt inpatient revision at the bedside. The care team removes the clogged external device and replaces it with a similar external drainage device without open incision or puncture, to restore decompression. Typical codes: 0D2DX0Z, 0D2DXYZ

Related Codes

0D20-UPPER-INTESTINAL-TRACT-CHANGE

ICD-10-PCS Code For Upper Intestinal Tract: Procedure Code Group Overview

0D2U-OMENTUM-CHANGE

ICD-10-PCS Code For Omentum: Procedure Code Group Overview

0D2V-MESENTERY-CHANGE

ICD-10-PCS Code For Mesentery: Procedure Code Group Overview

0D2W-PERITONEUM-CHANGE

ICD-10-PCS Code For Peritoneum: Procedure Code Group Overview

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-PCS Code For Lower Intestinal Tract: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Lower Intestinal Tract: Procedure Code Group Overview policy alerts

Lower Intestinal Tract Change Procedure Overview

Code Attributes

ICD-10-PCS Code For Lower Intestinal Tract: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Lower Intestinal Tract: Procedure Code Group Overview policy alerts

Lower Intestinal Tract Change Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

What procedures are included in ICD-10-PCS code group 0D2D?

What are the specific codes listed in this 0D2D group?

What is the operation and body system defined for these codes?

Why is accurate coding within the 0D2D group important?

Does the 0D2D group involve cutting or puncturing the skin or mucous membrane?

References

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

What procedures are included in ICD-10-PCS code group 0D2D?

What are the specific codes listed in this 0D2D group?

What is the operation and body system defined for these codes?

Why is accurate coding within the 0D2D group important?

Does the 0D2D group involve cutting or puncturing the skin or mucous membrane?

References