0DTR4ZZ ICD-10-PCS Code: Resection of Anal Sphincter, Percutaneous Endoscopic Approach

MS-DRG Grouper Relationships (FY2026)

Potential MS-DRG participation — not a DRG assignment.

The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 3 MS-DRGs:

• MDC 06 — Anal and Stomal Procedures: DRG 347, DRG 348, DRG 349

From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.

Related Codes

Same operation — other Body Part

Same table and root operation, differing only in the body part character.

0DTJ4ZZ — Resection of Appendix, Percutaneous Endoscopic Approach, 0DTK4ZZ — Resection of Ascending Colon, Percutaneous Endoscopic Approach, 0DTL4ZZ — Resection of Transverse Colon, Percutaneous Endoscopic Approach, 0DTM4ZZ — Resection of Descending Colon, Percutaneous Endoscopic Approach, 0DTN4ZZ — Resection of Sigmoid Colon, Percutaneous Endoscopic Approach, 0DTP4ZZ — Resection of Rectum, Percutaneous Endoscopic Approach, 0DTQ4ZZ — Resection of Anus, Percutaneous Endoscopic Approach, 0DTU4ZZ — Resection of Omentum, Percutaneous Endoscopic Approach, +16 more

Same operation — other Approach

Same table and root operation, differing only in the approach character.

0DTR0ZZ — Resection of Anal Sphincter, Open Approach

Same procedure category (CCSR), other tables

AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Proctectomy or anal resection (Gastrointestinal System Procedures); listed here are the members in other PCS tables. Source: Clinical Classifications Software Refined (CCSR), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, November 2025.

0D5P0Z3 — Destruction of Rectum using Laser Interstitial Thermal Therapy, Open Approach, 0D5P0ZZ — Destruction of Rectum, Open Approach, 0D5P4Z3 — Destruction of Rectum using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach, 0D5P4ZZ — Destruction of Rectum, Percutaneous Endoscopic Approach, 0D5Q0Z3 — Destruction of Anus using Laser Interstitial Thermal Therapy, Open Approach, 0D5Q0ZZ — Destruction of Anus, Open Approach, 0D5Q4Z3 — Destruction of Anus using Laser Interstitial Thermal Therapy, Percutaneous Endoscopic Approach, 0D5Q4ZZ — Destruction of Anus, Percutaneous Endoscopic Approach, 0D5QXZZ — Destruction of Anus, External Approach, 0D5R0ZZ — Destruction of Anal Sphincter, Open Approach, 0D5R4ZZ — Destruction of Anal Sphincter, Percutaneous Endoscopic Approach, 0DBP0ZZ — Excision of Rectum, Open Approach, 0DBP4ZZ — Excision of Rectum, Percutaneous Endoscopic Approach, 0DBQ0ZZ — Excision of Anus, Open Approach, 0DBQ4ZZ — Excision of Anus, Percutaneous Endoscopic Approach, 0DBQXZZ — Excision of Anus, External Approach, 0DBR0ZZ — Excision of Anal Sphincter, Open Approach, 0DBR4ZZ — Excision of Anal Sphincter, Percutaneous Endoscopic Approach

Contextual Map

Every relationship of 0DTR4ZZ in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run 0DTR4ZZ with these 5 related codes in Claim Check

PCS table

• 0DT[PCS table]— CMS ICD-10-PCS tables
• Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
• Gastrointestinal System — Body System: Gastrointestinal System[Body System]: “Gastrointestinal System”— CMS ICD-10-PCS tables
• Resection — Operation: Resection[Operation]: “Resection”— CMS ICD-10-PCS tables

MS-DRG participation

• DRG 347 — ANAL AND STOMAL PROCEDURES WITH MCC[MS-DRG]: “ANAL AND STOMAL PROCEDURES WITH MCC — Anal and Stomal Procedures (MDC 06)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 348 — ANAL AND STOMAL PROCEDURES WITH CC[MS-DRG]: “ANAL AND STOMAL PROCEDURES WITH CC — Anal and Stomal Procedures (MDC 06)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 349 — ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC[MS-DRG]: “ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC — Anal and Stomal Procedures (MDC 06)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026

Clinical classification (CCSR)

• GIS013 — Proctectomy or anal resection[CCSR category]: “Proctectomy or anal resection — Gastrointestinal System Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1

MDC crossing · diagnoses (1195)

• MDC 06 — Diseases and Disorders of the Digestive System[MDC crossing]: “Diseases and Disorders of the Digestive System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2026
• A00.0 — Cholera due to Vibrio cholerae 01, biovar cholerae[Same-MDC diagnosis]: “Cholera due to Vibrio cholerae 01, biovar cholerae — grouped in MDC 06, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• A00.1 — Cholera due to Vibrio cholerae 01, biovar eltor[Same-MDC diagnosis]: “Cholera due to Vibrio cholerae 01, biovar eltor — grouped in MDC 06, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• A00.9 — Cholera, unspecified[Same-MDC diagnosis]: “Cholera, unspecified — grouped in MDC 06, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• A02.0 — Salmonella enteritis[Same-MDC diagnosis]: “Salmonella enteritis — grouped in MDC 06, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• A03.0 — Shigellosis due to Shigella dysenteriae[Same-MDC diagnosis]: “Shigellosis due to Shigella dysenteriae — grouped in MDC 06, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• and 1190 more

Nearest codes

• 0DT14ZZ — Resection of Upper Esophagus, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 0DT24ZZ — Resection of Middle Esophagus, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 0DT34ZZ — Resection of Lower Esophagus, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 0DT44ZZ — Resection of Esophagogastric Junction, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 0DT54ZZ — Resection of Esophagus, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 0DT64ZZ — Resection of Stomach, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 0DT74ZZ — Resection of Stomach, Pylorus, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 0DT84ZZ — Resection of Small Intestine, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables