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ICD-10-PCS 2027 procedure code

0DBQXZXExcision of Anus, External Approach, Diagnostic

✓ Valid for 2027

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 0DBQXZX

0DBQXZX is the ICD-10-PCS code for a excision procedure on the anus using an external approach (qualifier: diagnostic). In ICD-10-PCS, excision means cutting out or off, without replacement, a portion of a body part.

In plain terms, this corresponds to biopsy of perianal tissue and biopsy of anus, the ICD-9-CM procedure titles it maps to (49.22 and 49.23).

The same procedure with a different approach is coded 0DBQ0ZX (open), 0DBQ3ZX (percutaneous), 0DBQ4ZX (percutaneous endoscopic), 0DBQ7ZX (via natural or artificial opening) and 0DBQ8ZX (via natural or artificial opening endoscopic).

It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.

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
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
QAnus

Includes: Anal orifice

5. Approach
XExternal

Procedures performed directly on the skin or mucous membrane and procedures performed indirectly by the application of external force through the skin or mucous membrane

6. Device
ZNo Device
7. Qualifier
XDiagnostic

Other versions of this procedure

ICD-9-CM equivalent

Converter →
  • 49.22Biopsy of perianal tissueapproximate
  • 49.23Biopsy 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 0DBQXZX

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

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

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

The CMS GEMs map 0DBQXZX to ICD-9-CM 49.22 (Biopsy of perianal tissue) and 49.23 (Biopsy of anus).