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ICD-10-PCS 2027 procedure code

0DQQ4ZZRepair Anus, Percutaneous Endoscopic 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 0DQQ4ZZ

0DQQ4ZZ is the ICD-10-PCS code for a repair procedure on the anus using a percutaneous endoscopic approach. In ICD-10-PCS, repair means restoring, to the extent possible, a body part to its normal anatomic structure and function.

In plain terms, this corresponds to suture of laceration of anus, the ICD-9-CM procedure title it maps to (49.71).

For a different body part, codes include 0DQ14ZZ (esophagus, upper), 0DQ24ZZ (esophagus, middle), 0DQ34ZZ (esophagus, lower), 0DQ44ZZ (esophagogastric junction), 0DQ54ZZ (esophagus), 0DQ64ZZ (stomach) and 20 more.

The same procedure with a different approach is coded 0DQQ0ZZ (open), 0DQQ3ZZ (percutaneous), 0DQQ7ZZ (via natural or artificial opening), 0DQQ8ZZ (via natural or artificial opening endoscopic) and 0DQQXZZ (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”, “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
QRepair

Restoring, to the extent possible, a body part to its normal anatomic structure and function

Used only when the method to accomplish the repair is not one of the other root operations

Includes: Colostomy takedown, suture of laceration

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

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 →
  • 49.71Suture of laceration 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 0DQQ4ZZ

Is 0DQQ4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0DQQ4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DQQ4ZZ an O.R. procedure?

Yes. 0DQQ4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DQQ4ZZ group to?

Depending on the principal diagnosis, 0DQQ4ZZ 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 0DQQ4ZZ?

The CMS GEMs map 0DQQ4ZZ to ICD-9-CM 49.71 (Suture of laceration of anus).