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ICD-10-PCS 2027 procedure code

0DDQ4ZXExtraction of Anus, Percutaneous Endoscopic Approach, Diagnostic

✓ Valid for 2027

Short description: Extraction of Anus, Percutaneous Endoscopic Approach, Diagn

Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0DDQ4ZX

0DDQ4ZX is the ICD-10-PCS code for a extraction procedure on the anus using a percutaneous endoscopic approach (qualifier: diagnostic). In ICD-10-PCS, extraction means pulling or stripping out or off all or a portion of a body part by the use of force.

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 0DD14ZX (esophagus, upper), 0DD24ZX (esophagus, middle), 0DD34ZX (esophagus, lower), 0DD44ZX (esophagogastric junction), 0DD54ZX (esophagus), 0DD64ZX (stomach) and 16 more.

The same procedure with a different approach is coded 0DDQ3ZX (percutaneous), 0DDQ8ZX (via natural or artificial opening endoscopic) and 0DDQXZX (external).

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

It was added in FY2018, effective October 1, 2017.

What each character means

1. Section
0Medical and Surgical
2. Body System
DGastrointestinal System
3. Operation
DExtraction

Pulling or stripping out or off all or a portion of a body part by the use of force

The qualifier DIAGNOSTIC is used to identify extraction procedures that are biopsies

Includes: Dilation and curettage, vein stripping

4. Body Part
QAnus

Includes: Anal orifice

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

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
  • FY2018 (effective 10/1/2017): Added
  • No changes since FY2018.

Common questions about 0DDQ4ZX

Is 0DDQ4ZX a valid ICD-10-PCS code for 2027?

Yes. 0DDQ4ZX is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 0DDQ4ZX?

The CMS GEMs map 0DDQ4ZX to ICD-9-CM 49.22 (Biopsy of perianal tissue) and 49.23 (Biopsy of anus).