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 0DXE includes procedures performed to transfer all or a portion of the large intestine to another location to take over the function of all or a portion of a body part in the gastrointestinal system. These ICD-10-PCS codes are used for inpatient documentation when a portion of the large intestine is moved to assume or restore function without removal of tissue. Accurate coding within the ICD-10-PCS 0DXE group is essential for proper inpatient reimbursement, as it captures procedure performed and determines appropriate case mix and payment.

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Large Intestine Transfer Procedure Overview

This group includes procedures that move all or a portion of the large intestine to another location so that it can take over the function of all or part of a body part. The procedures target the gastrointestinal system and involve repositioning tissue without removal. Accurate ICD-10-PCS coding is important for inpatient reimbursement because it captures the exact transfer operation performed and supports clinical documentation and payment determination.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
D	Body System	Gastrointestinal System
X	Operation	Transfer
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 Transfer Procedure Overview

Code Attributes

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

When to Use

Use a code from this group when a surgeon repositions all or a portion of the large intestine to another site so it assumes the function of all or part of a body part. Do not use these codes for resections, repairs, or procedures that remove tissue rather than transfer it.

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
0DXE0Z5	Transfer Large Intestine to Esophagus, Open Approach
0DXE0Z7	Transfer Large Intestine to Vagina, Open Approach
0DXE0ZB	Transfer Large Intestine to Bladder, Open Approach
0DXE4Z5	Transfer Large Intestine to Esophagus, Percutaneous Endoscopic Approach
0DXE4Z7	Transfer Large Intestine to Vagina, Percutaneous Endoscopic Approach
0DXE4ZB	Transfer Large Intestine to Bladder, Percutaneous Endoscopic Approach

DRG Codes

19 rows

DRG Code	Description
326	Stomach, Esophageal and Duodenal Procedures with MCC
327	Stomach, Esophageal and Duodenal Procedures with CC
328	Stomach, Esophageal and Duodenal Procedures without CC/MCC
653	Major Bladder Procedures with MCC
654	Major Bladder Procedures with CC
655	Major Bladder Procedures without CC/MCC
748	Female Reproductive System Reconstructive Procedures
820	Lymphoma and Leukemia with Major O.R. Procedures with MCC
821	Lymphoma and Leukemia with Major O.R. Procedures with CC
822	Lymphoma and Leukemia with Major O.R. Procedures without CC/MCC

Showing 1–10 of 19

Typical Clinical Scenarios

An elderly patient with extensive proximal esophageal stricture and failed repeated dilations presents with progressive dysphagia and recurrent aspiration leading to weight loss and malnutrition. The surgical team plans to relocate a segment of the large intestine to the esophagus to restore continuity and establish a durable conduit for swallowing. This is an elective but major reconstructive procedure performed in the inpatient setting to reestablish alimentary tract function and prevent ongoing aspiration. Typical codes: 0DXE0Z5, 0DXE4Z5
A middle-aged woman sustains severe pelvic trauma with loss of vaginal tissue and disruption of normal anatomy, resulting in fistula formation and inability to maintain sexual and pelvic floor function. After stabilization, reconstructive surgery is undertaken to transfer a portion of the large intestine to the vagina to recreate vaginal mucosa and restore structural function. The procedure is performed in the inpatient operative setting to repair the defect and restore pelvic continuity. Typical codes: 0DXE0Z7, 0DXE4Z7
A patient with refractory radiation-induced cystitis has persistent bladder dysfunction and fistula unresponsive to conservative therapy; diversion with tissue transfer is required to reconstruct bladder capacity and restore urinary tract function. In the inpatient setting the surgeon transfers a segment of large intestine to the bladder to assume part of bladder function and improve continence and storage. This procedure addresses a complex complication of prior radiation and pelvic surgery. Typical codes: 0DXE0ZB, 0DXE4ZB

Related Codes

0DX6-STOMACH-TRANSFER

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

0DX8-SMALL-INTESTINE-TRANSFER

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

0DXU-OMENTUM-TRANSFER

ICD-10-PCS Code For Omentum: 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

6 rows

ICD-10-PCS Code	Description
0DXE0Z5	Transfer Large Intestine to Esophagus, Open Approach
0DXE0Z7	Transfer Large Intestine to Vagina, Open Approach
0DXE0ZB	Transfer Large Intestine to Bladder, Open Approach
0DXE4Z5	Transfer Large Intestine to Esophagus, Percutaneous Endoscopic Approach
0DXE4Z7	Transfer Large Intestine to Vagina, Percutaneous Endoscopic Approach
0DXE4ZB	Transfer Large Intestine to Bladder, Percutaneous Endoscopic Approach

DRG Codes

19 rows

DRG Code	Description
326	Stomach, Esophageal and Duodenal Procedures with MCC
327	Stomach, Esophageal and Duodenal Procedures with CC
328	Stomach, Esophageal and Duodenal Procedures without CC/MCC
653	Major Bladder Procedures with MCC
654	Major Bladder Procedures with CC
655	Major Bladder Procedures without CC/MCC
748	Female Reproductive System Reconstructive Procedures
820	Lymphoma and Leukemia with Major O.R. Procedures with MCC
821	Lymphoma and Leukemia with Major O.R. Procedures with CC
822	Lymphoma and Leukemia with Major O.R. Procedures without CC/MCC

Showing 1–10 of 19

Typical Clinical Scenarios

An elderly patient with extensive proximal esophageal stricture and failed repeated dilations presents with progressive dysphagia and recurrent aspiration leading to weight loss and malnutrition. The surgical team plans to relocate a segment of the large intestine to the esophagus to restore continuity and establish a durable conduit for swallowing. This is an elective but major reconstructive procedure performed in the inpatient setting to reestablish alimentary tract function and prevent ongoing aspiration. Typical codes: 0DXE0Z5, 0DXE4Z5
A middle-aged woman sustains severe pelvic trauma with loss of vaginal tissue and disruption of normal anatomy, resulting in fistula formation and inability to maintain sexual and pelvic floor function. After stabilization, reconstructive surgery is undertaken to transfer a portion of the large intestine to the vagina to recreate vaginal mucosa and restore structural function. The procedure is performed in the inpatient operative setting to repair the defect and restore pelvic continuity. Typical codes: 0DXE0Z7, 0DXE4Z7
A patient with refractory radiation-induced cystitis has persistent bladder dysfunction and fistula unresponsive to conservative therapy; diversion with tissue transfer is required to reconstruct bladder capacity and restore urinary tract function. In the inpatient setting the surgeon transfers a segment of large intestine to the bladder to assume part of bladder function and improve continence and storage. This procedure addresses a complex complication of prior radiation and pelvic surgery. Typical codes: 0DXE0ZB, 0DXE4ZB

Related Codes

0DX6-STOMACH-TRANSFER

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

0DX8-SMALL-INTESTINE-TRANSFER

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

0DXU-OMENTUM-TRANSFER

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

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

Large Intestine Transfer 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 Transfer Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation are described by ICD-10-PCS code group 0DXE?

What types of approaches are represented in the 0DXE code list?

What clinical scenario do codes in 0DXE capture for inpatient documentation?

How does accurate coding within 0DXE affect reimbursement?

Which specific target destinations for large intestine transfer are listed in the 0DXE code group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation are described by ICD-10-PCS code group 0DXE?

What types of approaches are represented in the 0DXE code list?

What clinical scenario do codes in 0DXE capture for inpatient documentation?

How does accurate coding within 0DXE affect reimbursement?

Which specific target destinations for large intestine transfer are listed in the 0DXE code group?

References