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ICD-10-PCS 2027 procedure code

06BY4ZCExcision of Hemorrhoidal Plexus, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Excision 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 06BY4ZC

06BY4ZC is the ICD-10-PCS code for a excision procedure on the lower vein using a percutaneous endoscopic approach (qualifier: hemorrhoidal plexus). In ICD-10-PCS, excision means cutting out or off, without replacement, a portion of a body part.

In plain terms, this corresponds to excision of hemorrhoids, the ICD-9-CM procedure title it maps to (49.46).

The same procedure with a different approach is coded 06BY0ZC (open) and 06BY3ZC (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
BExcision

Cutting out or off, without replacement, a portion of a body part

The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies

Includes: Partial nephrectomy, liver biopsy

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

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 →
  • 49.46Excision of hemorrhoidsapproximate

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 06BY4ZC

Is 06BY4ZC a valid ICD-10-PCS code for 2027?

Yes. 06BY4ZC is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 06BY4ZC an O.R. procedure?

Yes. 06BY4ZC is an O.R. procedure in MS-DRG v44.0.

What DRG does 06BY4ZC group to?

Depending on the principal diagnosis, 06BY4ZC can group to MS-DRG 347, MS-DRG 348 and MS-DRG 349.

What is the ICD-9 procedure code for 06BY4ZC?

The CMS GEMs map 06BY4ZC to ICD-9-CM 49.46 (Excision of hemorrhoids).