ICD-10-PCS Code For Large Intestine: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0DME includes procedures performed to reattach portions of the large intestine in the gastrointestinal system. These ICD-10-PCS codes are used for inpatient documentation when continuity of the large intestine is restored following separation from trauma, surgical detachment, or intraoperative revision. Accurate coding within the ICD-10-PCS 0DME group is essential for proper inpatient reimbursement, as it captures the procedure performed and ensures clinical documentation supports appropriate case mix and payment.

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Large Intestine Reattachment Procedure Overview

Procedures in this group involve reattaching all or part of the large intestine to restore continuity of the gastrointestinal system after separation or traumatic detachment. These reattachment operations target the gastrointestinal system and commonly occur during surgery for trauma, ischemia, or after removal of diseased segments. Accurate ICD-10-PCS coding ensures the inpatient record reflects the operative repair and supports correct inpatient reimbursement and case-mix assignment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
D	Body System	Gastrointestinal System
M	Operation	Reattachment
E	Body Part	Large Intestine

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ICD-10-PCS Code For Large Intestine: Procedure Code Group Overview

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Large Intestine Reattachment Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
D	Body System	Gastrointestinal System
M	Operation	Reattachment
E	Body Part	Large Intestine

When to Use

Use a code from this group when the large intestine is surgically reattached to its normal or a suitable location after separation or detachment. Select the specific code that matches the anatomic site and approach documented in the operative report.

ICD-10-PCS Codes

2 rows

ICD-10-PCS Code	Description
0DME0ZZ	Reattachment of Large Intestine, Open Approach
0DME4ZZ	Reattachment of Large Intestine, Percutaneous Endoscopic Approach

DRG Codes

6 rows

DRG Code	Description
329	Major Small and Large Bowel Procedures with MCC
330	Major Small and Large Bowel Procedures with CC
331	Major Small and Large Bowel Procedures without CC/MCC
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries without CC/MCC

Typical Clinical Scenarios

An adult presents emergently after blunt abdominal trauma with a transected segment of the colon and ongoing peritonitis; the patient is taken to the OR for exploratory laparotomy with debridement and restoration of bowel continuity by reattaching the separated large intestine to prevent fecal contamination and preserve intestinal function. Typical codes: 0DME0ZZ
An elderly patient undergoes planned surgery for resection of a localized colonic lesion with intraoperative decision to reestablish continuity after removal of a diseased segment; the patient remains inpatient for monitoring while the surgeon performs a controlled reattachment of the large intestine to restore normal gastrointestinal tract continuity. Typical codes: 0DME0ZZ
A patient who previously had a temporary ostomy develops viable bowel margins amenable to reinternalization; during a minimally invasive endoscopic-assisted procedure the surgeon reconnects the separated colonic segments to restore continuity and close the ostomy. Typical codes: 0DME4ZZ

Related Codes

0DM5-ESOPHAGUS-REATTACHMENT

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

0DM6-STOMACH-REATTACHMENT

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

0DM8-SMALL-INTESTINE-REATTACHMENT

ICD-10-PCS Code For Small Intestine: Procedure Code Group Overview

0DM9-DUODENUM-REATTACHMENT

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

0DMA-JEJUNUM-REATTACHMENT

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

0DMB-ILEUM-REATTACHMENT

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

0DMF-LARGE-INTESTINE-RIGHT-REATTACHMENT

ICD-10-PCS Code For Large Intestine, Right: Procedure Code Group Overview

0DMG-LARGE-INTESTINE-LEFT-REATTACHMENT

ICD-10-PCS Code For Large Intestine Left: Procedure Code Group Overview

0DMH-CECUM-REATTACHMENT

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

0DMK-ASCENDING-COLON-REATTACHMENT

ICD-10-PCS Code For Ascending Colon: Procedure Code Group Overview

Showing 1–10 of 14

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

2 rows

ICD-10-PCS Code	Description
0DME0ZZ	Reattachment of Large Intestine, Open Approach
0DME4ZZ	Reattachment of Large Intestine, Percutaneous Endoscopic Approach

DRG Codes

6 rows

DRG Code	Description
329	Major Small and Large Bowel Procedures with MCC
330	Major Small and Large Bowel Procedures with CC
331	Major Small and Large Bowel Procedures without CC/MCC
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries without CC/MCC

Typical Clinical Scenarios

An adult presents emergently after blunt abdominal trauma with a transected segment of the colon and ongoing peritonitis; the patient is taken to the OR for exploratory laparotomy with debridement and restoration of bowel continuity by reattaching the separated large intestine to prevent fecal contamination and preserve intestinal function. Typical codes: 0DME0ZZ
An elderly patient undergoes planned surgery for resection of a localized colonic lesion with intraoperative decision to reestablish continuity after removal of a diseased segment; the patient remains inpatient for monitoring while the surgeon performs a controlled reattachment of the large intestine to restore normal gastrointestinal tract continuity. Typical codes: 0DME0ZZ
A patient who previously had a temporary ostomy develops viable bowel margins amenable to reinternalization; during a minimally invasive endoscopic-assisted procedure the surgeon reconnects the separated colonic segments to restore continuity and close the ostomy. Typical codes: 0DME4ZZ

Related Codes

0DM5-ESOPHAGUS-REATTACHMENT

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

0DM6-STOMACH-REATTACHMENT

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

0DM8-SMALL-INTESTINE-REATTACHMENT

ICD-10-PCS Code For Small Intestine: Procedure Code Group Overview

0DM9-DUODENUM-REATTACHMENT

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

0DMA-JEJUNUM-REATTACHMENT

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

0DMB-ILEUM-REATTACHMENT

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

0DMF-LARGE-INTESTINE-RIGHT-REATTACHMENT

ICD-10-PCS Code For Large Intestine, Right: Procedure Code Group Overview

0DMG-LARGE-INTESTINE-LEFT-REATTACHMENT

ICD-10-PCS Code For Large Intestine Left: Procedure Code Group Overview

0DMH-CECUM-REATTACHMENT

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

0DMK-ASCENDING-COLON-REATTACHMENT

ICD-10-PCS Code For Ascending Colon: Procedure Code Group Overview

Showing 1–10 of 14

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 Large Intestine: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Large Intestine: Procedure Code Group Overview policy alerts

Large Intestine Reattachment Procedure Overview

Code Attributes

ICD-10-PCS Code For Large Intestine: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Large Intestine: Procedure Code Group Overview policy alerts

Large Intestine Reattachment Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in ICD-10-PCS code group 0DME?

When should ICD-10-PCS 0DME codes be used for inpatient documentation?

What are the body system and operation attributes for the 0DME code group?

Which DRGs are related to procedures coded to 0DME?

Why is accurate coding of 0DME important for inpatient reimbursement?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in ICD-10-PCS code group 0DME?

When should ICD-10-PCS 0DME codes be used for inpatient documentation?

What are the body system and operation attributes for the 0DME code group?

Which DRGs are related to procedures coded to 0DME?

Why is accurate coding of 0DME important for inpatient reimbursement?

References