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ICD-10-PCS 2027 procedure code

0DRR4KZReplacement of Anal Sphincter with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Replace Anal Sphincter w Nonaut Sub, Perc Endo

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 0DRR4KZ

0DRR4KZ is the ICD-10-PCS code for a replacement procedure on the anal sphincter using a percutaneous endoscopic approach with nonautologous tissue substitute. In ICD-10-PCS, replacement means putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part.

In plain terms, this corresponds to other repair of anal sphincter, the ICD-9-CM procedure title it maps to (49.79).

For a different body part, codes include 0DR54KZ (esophagus), 0DRU4KZ (omentum), 0DRV4KZ (mesentery) and 0DRW4KZ (peritoneum).

The same procedure with a different approach is coded 0DRR0KZ (open).

With a different device, use 0DRR47Z (autologous tissue substitute) and 0DRR4JZ (synthetic substitute).

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
RReplacement

Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part

The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during the Replacement procedure. A Removal procedure is coded for taking out the device used in a previous replacement procedure

Includes: Total hip replacement, bone graft, free skin graft

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
KNonautologous Tissue Substitute

Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft

7. Qualifier
ZNo Qualifier

Other versions of this procedure

Different approach

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 →
  • 49.79Other repair of 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 0DRR4KZ

Is 0DRR4KZ a valid ICD-10-PCS code for 2027?

Yes. 0DRR4KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DRR4KZ an O.R. procedure?

Yes. 0DRR4KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DRR4KZ group to?

Depending on the principal diagnosis, 0DRR4KZ 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 0DRR4KZ?

The CMS GEMs map 0DRR4KZ to ICD-9-CM 49.79 (Other repair of anal sphincter).