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ICD-10-PCS 2027 procedure code

0DBR4ZXExcision of Anal Sphincter, Percutaneous Endoscopic Approach, Diagnostic

✓ Valid for 2027

Short description: Excision of Anal Sphincter, Perc Endo Approach, Diagn

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 0DBR4ZX

0DBR4ZX is the ICD-10-PCS code for a excision procedure on the anal sphincter using a percutaneous endoscopic 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).

For a different body part, codes include 0DB14ZX (esophagus, upper), 0DB24ZX (esophagus, middle), 0DB34ZX (esophagus, lower), 0DB44ZX (esophagogastric junction), 0DB54ZX (esophagus), 0DB64ZX (stomach) and 20 more.

The same procedure with a different approach is coded 0DBR0ZX (open) and 0DBR3ZX (percutaneous).

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
RAnal Sphincter

Includes: External anal sphincter; Internal anal sphincter

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
XDiagnostic

Other versions of this procedure

Different qualifier

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 0DBR4ZX

Is 0DBR4ZX a valid ICD-10-PCS code for 2027?

Yes. 0DBR4ZX is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 0DBR4ZX?

The CMS GEMs map 0DBR4ZX to ICD-9-CM 49.22 (Biopsy of perianal tissue) and 49.23 (Biopsy of anus).