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ICD-10-PCS 2027 procedure code

0DBR4ZZExcision of Anal Sphincter, Percutaneous Endoscopic 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 0DBR4ZZ

0DBR4ZZ is the ICD-10-PCS code for a excision procedure on the anal sphincter using a percutaneous endoscopic approach. 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 anus, the ICD-9-CM procedure title it maps to (49.6).

For a different body part, codes include 0DB14ZZ (esophagus, upper), 0DB24ZZ (esophagus, middle), 0DB34ZZ (esophagus, lower), 0DB44ZZ (esophagogastric junction), 0DB54ZZ (esophagus), 0DB64ZZ (stomach) and 20 more.

The same procedure with a different approach is coded 0DBR0ZZ (open) and 0DBR3ZZ (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
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
ZNo Qualifier

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.

ICD-9-CM equivalent

Converter →
  • 49.6Excision 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 0DBR4ZZ

Is 0DBR4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0DBR4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DBR4ZZ an O.R. procedure?

Yes. 0DBR4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DBR4ZZ group to?

Depending on the principal diagnosis, 0DBR4ZZ can group to MS-DRG 347, MS-DRG 348 and MS-DRG 349.

What is the ICD-9 procedure code for 0DBR4ZZ?

The CMS GEMs map 0DBR4ZZ to ICD-9-CM 49.6 (Excision of anus).