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ICD-10-PCS 2027 procedure code

0DSQ4ZZReposition Anus, 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 0DSQ4ZZ

0DSQ4ZZ is the ICD-10-PCS code for a reposition procedure on the anus using a percutaneous endoscopic approach. In ICD-10-PCS, reposition means moving to its normal location, or other suitable location, all or a portion of a body part.

In plain terms, this corresponds to reduction of anal prolapse, the ICD-9-CM procedure title it maps to (49.94).

For a different body part, codes include 0DS54ZZ (esophagus), 0DS64ZZ (stomach), 0DS84ZZ (small intestine), 0DS94ZZ (duodenum), 0DSA4ZZ (jejunum), 0DSB4ZZ (ileum) and 7 more.

The same procedure with a different approach is coded 0DSQ0ZZ (open), 0DSQ7ZZ (via natural or artificial opening), 0DSQ8ZZ (via natural or artificial opening endoscopic) and 0DSQXZZ (external).

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
SReposition

Moving to its normal location, or other suitable location, all or a portion of a body part

The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning correctly. The body part may or may not be cut out or off to be moved to the new location

Includes: Reposition of undescended testicle, fracture reduction

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
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 →
  • 49.94Reduction of anal prolapseapproximate

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 0DSQ4ZZ

Is 0DSQ4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0DSQ4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DSQ4ZZ an O.R. procedure?

Yes. 0DSQ4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DSQ4ZZ group to?

Depending on the principal diagnosis, 0DSQ4ZZ can group to MS-DRG 347, MS-DRG 348 and MS-DRG 349.

What is the ICD-9 procedure code for 0DSQ4ZZ?

The CMS GEMs map 0DSQ4ZZ to ICD-9-CM 49.94 (Reduction of anal prolapse).