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ICD-10-PCS 2027 procedure code

0DPQ4LZRemoval of Artificial Sphincter from Anus, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Artif Sphincter from Anus, Perc Endo Approach

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 0DPQ4LZ

0DPQ4LZ is the ICD-10-PCS code for a removal procedure on the anus using a percutaneous endoscopic approach with artificial sphincter. In ICD-10-PCS, removal means taking out or off a device from a body part.

In plain terms, this corresponds to removal of artificial anal sphincter, the ICD-9-CM procedure title it maps to (49.76).

The same procedure with a different approach is coded 0DPQ0LZ (open), 0DPQ3LZ (percutaneous), 0DPQ7LZ (via natural or artificial opening) and 0DPQ8LZ (via natural or artificial opening endoscopic).

It is an operating-room procedure in the MS-DRG logic for DRG 332 (Rectal Resection with MCC), DRG 333 (Rectal Resection with CC), DRG 334 (Rectal Resection 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 “Rectal Resection”, “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
PRemoval

Taking out or off a device from a body part

If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL

Includes: Drainage tube removal, cardiac pacemaker removal

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
LArtificial Sphincter
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 →
  • 49.76Removal of artificial anal sphincterapproximate

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 0DPQ4LZ

Is 0DPQ4LZ a valid ICD-10-PCS code for 2027?

Yes. 0DPQ4LZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DPQ4LZ an O.R. procedure?

Yes. 0DPQ4LZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DPQ4LZ group to?

Depending on the principal diagnosis, 0DPQ4LZ can group to MS-DRG 332, MS-DRG 333, MS-DRG 334, MS-DRG 579, MS-DRG 580 and MS-DRG 581.

What is the ICD-9 procedure code for 0DPQ4LZ?

The CMS GEMs map 0DPQ4LZ to ICD-9-CM 49.76 (Removal of artificial anal sphincter).