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ICD-10-PCS 2027 procedure code

065Y4ZCDestruction of Hemorrhoidal Plexus, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Destruction of Hemorrhoidal Plexus, Perc Endo Approach

Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 065Y4ZC

065Y4ZC is the ICD-10-PCS code for a destruction procedure on the lower vein using a percutaneous endoscopic approach (qualifier: hemorrhoidal plexus). In ICD-10-PCS, destruction means physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent.

In plain terms, this corresponds to cauterization of hemorrhoids and destruction of hemorrhoids by cryotherapy, the ICD-9-CM procedure titles it maps to (49.43 and 49.44).

The same procedure with a different approach is coded 065Y0ZC (open) and 065Y3ZC (percutaneous).

It is an operating-room procedure in the MS-DRG logic for DRG 347 (Anal and Stomal Procedures with MCC), DRG 348 (Anal and Stomal Procedures with CC) and DRG 349 (Anal and Stomal Procedures without CC/MCC), under the surgical category “Anal and Stomal Procedures”.

It has been valid since ICD-10-PCS took effect on October 1, 2015.

What each character means

1. Section
0Medical and Surgical
2. Body System
6Lower Veins
3. Operation
5Destruction

Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent

None of the body part is physically taken out

Includes: Fulguration of rectal polyp, cautery of skin lesion

4. Body Part
YLower Vein
5. Approach
4Percutaneous Endoscopic

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

6. Device
ZNo Device
7. Qualifier
CHemorrhoidal Plexus

Other versions of this procedure

Different qualifier

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

ICD-9-CM equivalent

Converter →
  • 49.43Cauterization of hemorrhoidsapproximate
  • 49.44Destruction of hemorrhoids by cryotherapyapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 065Y4ZC

Is 065Y4ZC a valid ICD-10-PCS code for 2027?

Yes. 065Y4ZC is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 065Y4ZC an O.R. procedure?

Yes. 065Y4ZC is an O.R. procedure in MS-DRG v44.0.

What DRG does 065Y4ZC group to?

Depending on the principal diagnosis, 065Y4ZC can group to MS-DRG 347, MS-DRG 348 and MS-DRG 349.

What is the ICD-9 procedure code for 065Y4ZC?

The CMS GEMs map 065Y4ZC to ICD-9-CM 49.43 (Cauterization of hemorrhoids) and 49.44 (Destruction of hemorrhoids by cryotherapy).