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ICD-10-PCS 2027 procedure code

0D8R0ZZDivision of Anal Sphincter, Open 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 0D8R0ZZ

0D8R0ZZ is the ICD-10-PCS code for a division procedure on the anal sphincter using an open approach. In ICD-10-PCS, division means cutting into a body part, without draining fluids and/or gases from the body part, in order to separate or transect a body part.

In plain terms, this corresponds to other anal sphincterotomy, the ICD-9-CM procedure title it maps to (49.59).

For a different body part, codes include 0D840ZZ (esophagogastric junction) and 0D870ZZ (stomach, pylorus).

The same procedure with a different approach is coded 0D8R3ZZ (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
DGastrointestinal System
3. Operation
8Division

Cutting into a body part, without draining fluids and/or gases from the body part, in order to separate or transect a body part

All or a portion of the body part is separated into two or more portions

Includes: Spinal cordotomy, osteotomy

4. Body Part
RAnal Sphincter

Includes: External anal sphincter; Internal anal sphincter

5. Approach
0Open

Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

6. Device
ZNo Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

Different approach

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 →
  • 49.59Other anal sphincterotomyapproximate

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 0D8R0ZZ

Is 0D8R0ZZ a valid ICD-10-PCS code for 2027?

Yes. 0D8R0ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0D8R0ZZ an O.R. procedure?

Yes. 0D8R0ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0D8R0ZZ group to?

Depending on the principal diagnosis, 0D8R0ZZ can group to MS-DRG 347, MS-DRG 348 and MS-DRG 349.

What is the ICD-9 procedure code for 0D8R0ZZ?

The CMS GEMs map 0D8R0ZZ to ICD-9-CM 49.59 (Other anal sphincterotomy).