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ICD-10-PCS 2027 procedure code

0DHQ4LZInsertion of Artificial Sphincter into Anus, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Insertion of Artif Sphincter into Anus, 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 0DHQ4LZ

0DHQ4LZ is the ICD-10-PCS code for a insertion procedure on the anus using a percutaneous endoscopic approach with artificial sphincter. In ICD-10-PCS, insertion means putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part.

In plain terms, this corresponds to implantation or revision of artificial anal sphincter, the ICD-9-CM procedure title it maps to (49.75).

The same procedure with a different approach is coded 0DHQ0LZ (open) and 0DHQ3LZ (percutaneous).

With a different device, use 0DHQ4DZ (intraluminal device).

It is an operating-room procedure in the MS-DRG logic for DRG 332 (Rectal Resection with MCC), DRG 333 (Rectal Resection with CC), DRG 334 (Rectal Resection 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 “Rectal Resection”, “Other Skin, Subcutaneous Tissue and Breast Procedures”, “Other O.R. Procedures for Injuries” and 1 more.

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
HInsertion

Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part

Includes: Insertion of radioactive implant, insertion of central venous catheter

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
LArtificial Sphincter
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 →
  • 49.75Implantation or revision of artificial anal sphincterapproximate

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 0DHQ4LZ

Is 0DHQ4LZ a valid ICD-10-PCS code for 2027?

Yes. 0DHQ4LZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DHQ4LZ an O.R. procedure?

Yes. 0DHQ4LZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DHQ4LZ group to?

Depending on the principal diagnosis, 0DHQ4LZ can group to MS-DRG 332, MS-DRG 333, MS-DRG 334, MS-DRG 579, MS-DRG 580 and MS-DRG 581.

What is the ICD-9 procedure code for 0DHQ4LZ?

The CMS GEMs map 0DHQ4LZ to ICD-9-CM 49.75 (Implantation or revision of artificial anal sphincter).