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ICD-10-PCS 2027 procedure code

0D5Q4ZZDestruction of Anus, Percutaneous Endoscopic Approach

✓ Valid for 2027

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 0D5Q4ZZ

0D5Q4ZZ is the ICD-10-PCS code for a destruction procedure on the anus using a percutaneous endoscopic 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 endoscopic excision or destruction of lesion or tissue of anus, the ICD-9-CM procedure title it maps to (49.31).

For a different body part, codes include 0D514ZZ (esophagus, upper), 0D524ZZ (esophagus, middle), 0D534ZZ (esophagus, lower), 0D544ZZ (esophagogastric junction), 0D554ZZ (esophagus), 0D564ZZ (stomach) and 20 more.

The same procedure with a different approach is coded 0D5Q0ZZ (open), 0D5Q3ZZ (percutaneous), 0D5Q7ZZ (via natural or artificial opening), 0D5Q8ZZ (via natural or artificial opening endoscopic) and 0D5QXZZ (external).

It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.

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
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
ZNo Qualifier

Other versions of this procedure

ICD-9-CM equivalent

Converter →
  • 49.31Endoscopic 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 0D5Q4ZZ

Is 0D5Q4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0D5Q4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 0D5Q4ZZ?

The CMS GEMs map 0D5Q4ZZ to ICD-9-CM 49.31 (Endoscopic excision or destruction of lesion or tissue of anus).