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ICD-10-PCS 2027 procedure code

0D5Q3Z3Destruction of Anus using Laser Interstitial Thermal Therapy, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Short description: Destruction of Anus using LITT, Perc Approach

Code last changed in FY2023 (effective October 1, 2022). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0D5Q3Z3

0D5Q3Z3 is the ICD-10-PCS code for a destruction procedure on the anus using a percutaneous approach (qualifier: laser interstitial thermal therapy). 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.

For a different body part, codes include 0D513Z3 (esophagus, upper), 0D523Z3 (esophagus, middle), 0D533Z3 (esophagus, lower), 0D543Z3 (esophagogastric junction), 0D553Z3 (esophagus), 0D563Z3 (stomach) and 16 more.

The same procedure with a different approach is coded 0D5Q0Z3 (open) and 0D5Q4Z3 (percutaneous endoscopic).

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 was added in FY2023, effective October 1, 2022.

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
3Laser Interstitial Thermal Therapy

Other versions of this procedure

Different qualifier

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

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
  • FY2023 (effective 10/1/2022): Added
  • No changes since FY2023.

Common questions about 0D5Q3Z3

Is 0D5Q3Z3 a valid ICD-10-PCS code for 2027?

Yes. 0D5Q3Z3 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0D5Q3Z3 an O.R. procedure?

Yes. 0D5Q3Z3 is an O.R. procedure in MS-DRG v44.0.

What DRG does 0D5Q3Z3 group to?

Depending on the principal diagnosis, 0D5Q3Z3 can group to MS-DRG 347, MS-DRG 348, MS-DRG 349, MS-DRG 579, MS-DRG 580 and MS-DRG 581.