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ICD-10-PCS 2027 procedure code

0DNP4ZZRelease 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 0DNP4ZZ

0DNP4ZZ is the ICD-10-PCS code for a release procedure on the rectum using a percutaneous endoscopic approach. In ICD-10-PCS, release means freeing a body part from an abnormal physical constraint by cutting or by the use of force.

In plain terms, this corresponds to incision of perirectal tissue and incision of rectal stricture, the ICD-9-CM procedure titles it maps to (48.81 and 48.91).

For a different body part, codes include 0DN14ZZ (esophagus, upper), 0DN24ZZ (esophagus, middle), 0DN34ZZ (esophagus, lower), 0DN44ZZ (esophagogastric junction), 0DN54ZZ (esophagus), 0DN64ZZ (stomach) and 20 more.

The same procedure with a different approach is coded 0DNP0ZZ (open), 0DNP3ZZ (percutaneous), 0DNP7ZZ (via natural or artificial opening) and 0DNP8ZZ (via natural or artificial opening endoscopic).

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), DRG 349 (Anal and Stomal Procedures without CC/MCC), DRG 579 (Other Skin, Subcutaneous Tissue and Breast Procedures with MCC), DRG 580 (Other Skin, Subcutaneous Tissue and Breast Procedures with CC) and DRG 581 (Other Skin, Subcutaneous Tissue and Breast Procedures without CC/MCC), under the surgical categories “Anal and Stomal Procedures”, “Other Skin, Subcutaneous Tissue and Breast Procedures”, “Other O.R. Procedures for Injuries” and 1 more.

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
NRelease

Freeing a body part from an abnormal physical constraint by cutting or by the use of force

Some of the restraining tissue may be taken out but none of the body part is taken out

Includes: Adhesiolysis, carpal tunnel release

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 →
  • 48.81Incision of perirectal tissueapproximate
  • 48.91Incision of rectal strictureapproximate

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 0DNP4ZZ

Is 0DNP4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0DNP4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DNP4ZZ an O.R. procedure?

Yes. 0DNP4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DNP4ZZ group to?

Depending on the principal diagnosis, 0DNP4ZZ can group to MS-DRG 347, MS-DRG 348, MS-DRG 349, MS-DRG 579, MS-DRG 580 and MS-DRG 581.

What is the ICD-9 procedure code for 0DNP4ZZ?

The CMS GEMs map 0DNP4ZZ to ICD-9-CM 48.81 (Incision of perirectal tissue) and 48.91 (Incision of rectal stricture).