ICD-10-PCS Code For Anal Sphincter: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0D8R includes procedures performed to divide sphincter tissue in the anal sphincter. These ICD-10-PCS codes are used for inpatient documentation when a clinician performs a surgical division or transection of the anal sphincter for therapeutic or diagnostic purposes. Accurate coding within the ICD-10-PCS 0D8R group is essential for proper inpatient reimbursement, as it captures the specific division procedure performed and determines appropriate case mix and payment.

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Anal Sphincter Division Procedure Overview

Procedures in this group involve cutting into or transecting the anal sphincter to divide or separate sphincter tissue. These procedures target the gastrointestinal system and specifically the anal sphincter. Accurate ICD-10-PCS coding is important for inpatient reimbursement because it documents the exact division operation performed and supports appropriate case mix assignment and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
D	Body System	Gastrointestinal System
8	Operation	Division
R	Body Part	Anal Sphincter

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ICD-10-PCS Code For Anal Sphincter: Procedure Code Group Overview

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Anal Sphincter Division Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
D	Body System	Gastrointestinal System
8	Operation	Division
R	Body Part	Anal Sphincter

When to Use

Use a code from this group when the operative intent is to divide or transect the anal sphincter tissue during an inpatient procedure. These codes apply when the documented operation is a division rather than excision, repair, or dilation.

ICD-10-PCS Codes

2 rows

ICD-10-PCS Code	Description
0D8R0ZZ	Division of Anal Sphincter, Open Approach
0D8R3ZZ	Division of Anal Sphincter, Percutaneous Approach

DRG Codes

6 rows

DRG Code	Description
347	Anal and Stomal Procedures with MCC
348	Anal and Stomal Procedures with CC
349	Anal and Stomal Procedures without CC/MCC
987	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC
988	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with CC
989	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis without CC/MCC

Typical Clinical Scenarios

A middle-aged patient presents urgently with acute, severe pain and spasm of the external anal sphincter after childbirth leading to functional obstruction and inability to evacuate. Conservative measures including analgesia and muscle relaxants failed, and the surgical team performs an open division of the anal sphincter under controlled conditions to relieve spasm and restore bowel passage. The inpatient setting is used for monitoring, pain control, and wound care post-procedure. Typical codes: 0D8R0ZZ
An adult patient with chronic anal sphincter hypertonicity and recurrent painful fissures refractory to medical therapy is scheduled electively for a controlled surgical division to reduce sphincter pressure and promote fissure healing. The procedure is performed percutaneously to minimize tissue disruption and allow targeted transection of sphincter fibers under imaging or palpation guidance. The patient is admitted for observation and postoperative pelvic floor therapy planning. Typical codes: 0D8R3ZZ
A patient with a prior partial sphincterotomy presents with persistent obstructive symptoms and scar-related tethering causing recurrent pain and dysfunction. A revision division is undertaken to further separate fibrotic sphincter tissue and release tension. Depending on intraoperative findings and access needs, an open approach may be required to adequately visualize and complete the division, with postoperative admission for monitoring and pelvic floor rehabilitation. Typical codes: 0D8R0ZZ

Related Codes

0D84-ESOPHAGOGASTRIC-JUNCTION-DIVISION

ICD-10-PCS Code For Esophagogastric Junction: Procedure Code Group Overview

0D87-STOMACH-PYLORUS-DIVISION

ICD-10-PCS Code For Stomach Pylorus: Procedure Code Group Overview

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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When to Use

ICD-10-PCS Codes

2 rows

ICD-10-PCS Code	Description
0D8R0ZZ	Division of Anal Sphincter, Open Approach
0D8R3ZZ	Division of Anal Sphincter, Percutaneous Approach

DRG Codes

6 rows

DRG Code	Description
347	Anal and Stomal Procedures with MCC
348	Anal and Stomal Procedures with CC
349	Anal and Stomal Procedures without CC/MCC
987	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC
988	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with CC
989	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis without CC/MCC

Typical Clinical Scenarios

A middle-aged patient presents urgently with acute, severe pain and spasm of the external anal sphincter after childbirth leading to functional obstruction and inability to evacuate. Conservative measures including analgesia and muscle relaxants failed, and the surgical team performs an open division of the anal sphincter under controlled conditions to relieve spasm and restore bowel passage. The inpatient setting is used for monitoring, pain control, and wound care post-procedure. Typical codes: 0D8R0ZZ
An adult patient with chronic anal sphincter hypertonicity and recurrent painful fissures refractory to medical therapy is scheduled electively for a controlled surgical division to reduce sphincter pressure and promote fissure healing. The procedure is performed percutaneously to minimize tissue disruption and allow targeted transection of sphincter fibers under imaging or palpation guidance. The patient is admitted for observation and postoperative pelvic floor therapy planning. Typical codes: 0D8R3ZZ
A patient with a prior partial sphincterotomy presents with persistent obstructive symptoms and scar-related tethering causing recurrent pain and dysfunction. A revision division is undertaken to further separate fibrotic sphincter tissue and release tension. Depending on intraoperative findings and access needs, an open approach may be required to adequately visualize and complete the division, with postoperative admission for monitoring and pelvic floor rehabilitation. Typical codes: 0D8R0ZZ

Related Codes

0D84-ESOPHAGOGASTRIC-JUNCTION-DIVISION

ICD-10-PCS Code For Esophagogastric Junction: Procedure Code Group Overview

0D87-STOMACH-PYLORUS-DIVISION

ICD-10-PCS Code For Stomach Pylorus: Procedure Code Group Overview

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-PCS Code For Anal Sphincter: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Anal Sphincter: Procedure Code Group Overview policy alerts

Anal Sphincter Division Procedure Overview

Code Attributes

ICD-10-PCS Code For Anal Sphincter: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Anal Sphincter: Procedure Code Group Overview policy alerts

Anal Sphincter Division Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS codes are included in the Anal Sphincter division group 0D8R?

What is the section, body system, and operation attributes for codes in 0D8R?

When should these ICD-10-PCS 0D8R codes be used in inpatient documentation?

How do codes in the 0D8R group affect DRG assignment and reimbursement?

What approaches are represented by the individual codes in this group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS codes are included in the Anal Sphincter division group 0D8R?

What is the section, body system, and operation attributes for codes in 0D8R?

When should these ICD-10-PCS 0D8R codes be used in inpatient documentation?

How do codes in the 0D8R group affect DRG assignment and reimbursement?

What approaches are represented by the individual codes in this group?

References