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ICD-10-PCS 2027 procedure code

0D5Q3ZZDestruction of Anus, Percutaneous Approach

✓ Valid for 2027O.R. procedure

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 0D5Q3ZZ

0D5Q3ZZ is the ICD-10-PCS code for a destruction procedure on the anus using a percutaneous approach. 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 other local excision or destruction of lesion or tissue of anus, the ICD-9-CM procedure title it maps to (49.39).

For a different body part, codes include 0D513ZZ (esophagus, upper), 0D523ZZ (esophagus, middle), 0D533ZZ (esophagus, lower), 0D543ZZ (esophagogastric junction), 0D553ZZ (esophagus), 0D563ZZ (stomach) and 20 more.

The same procedure with a different approach is coded 0D5Q0ZZ (open), 0D5Q4ZZ (percutaneous endoscopic), 0D5Q7ZZ (via natural or artificial opening), 0D5Q8ZZ (via natural or artificial opening endoscopic) and 0D5QXZZ (external).

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), DRG 349 (Anal and Stomal Procedures without CC/MCC), DRG 579 (Other Skin, Subcutaneous Tissue and Breast Procedures with MCC), DRG 580 (Other Skin, Subcutaneous Tissue and Breast Procedures with CC) and DRG 581 (Other Skin, Subcutaneous Tissue and Breast Procedures without CC/MCC), under the surgical categories “Anal and Stomal Procedures” and “Other Skin, Subcutaneous Tissue and Breast 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
DGastrointestinal System
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
QAnus

Includes: Anal orifice

5. Approach
3Percutaneous

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

6. Device
ZNo Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

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 →
  • 49.39Other local excision or destruction of lesion or tissue of anusapproximate

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 0D5Q3ZZ

Is 0D5Q3ZZ a valid ICD-10-PCS code for 2027?

Yes. 0D5Q3ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0D5Q3ZZ an O.R. procedure?

Yes. 0D5Q3ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0D5Q3ZZ group to?

Depending on the principal diagnosis, 0D5Q3ZZ can group to MS-DRG 347, MS-DRG 348, MS-DRG 349, MS-DRG 579, MS-DRG 580 and MS-DRG 581.

What is the ICD-9 procedure code for 0D5Q3ZZ?

The CMS GEMs map 0D5Q3ZZ to ICD-9-CM 49.39 (Other local excision or destruction of lesion or tissue of anus).