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ICD-10-PCS 2027 procedure code

0DLP4ZZOcclusion of Rectum, 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 0DLP4ZZ

0DLP4ZZ is the ICD-10-PCS code for a occlusion procedure on the rectum using a percutaneous endoscopic approach. In ICD-10-PCS, occlusion means completely closing an orifice or the lumen of a tubular body part.

In plain terms, this corresponds to other operations on rectum and perirectal tissue, the ICD-9-CM procedure title it maps to (48.99).

For a different body part, codes include 0DL14ZZ (esophagus, upper), 0DL24ZZ (esophagus, middle), 0DL34ZZ (esophagus, lower), 0DL44ZZ (esophagogastric junction), 0DL54ZZ (esophagus), 0DL64ZZ (stomach) and 15 more.

The same procedure with a different approach is coded 0DLP0ZZ (open), 0DLP3ZZ (percutaneous), 0DLP7ZZ (via natural or artificial opening) and 0DLP8ZZ (via natural or artificial opening endoscopic).

With a different device, use 0DLP4CZ (extraluminal device) and 0DLP4DZ (intraluminal device).

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
LOcclusion

Completely closing an orifice or the lumen of a tubular body part

The orifice can be a natural orifice or an artificially created orifice

Includes: Fallopian tube ligation, ligation of inferior vena cava

4. Body Part
PRectum

Includes: Anorectal junction

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

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 →
  • 48.99Other operations on rectum and perirectal tissueapproximate

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 0DLP4ZZ

Is 0DLP4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0DLP4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DLP4ZZ an O.R. procedure?

Yes. 0DLP4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DLP4ZZ group to?

Depending on the principal diagnosis, 0DLP4ZZ can group to MS-DRG 347, MS-DRG 348 and MS-DRG 349.

What is the ICD-9 procedure code for 0DLP4ZZ?

The CMS GEMs map 0DLP4ZZ to ICD-9-CM 48.99 (Other operations on rectum and perirectal tissue).