Skip to content
Dx

ICD-10-PCS 2027 procedure code

0TB18ZZExcision of Left Kidney, Via Natural or Artificial Opening Endoscopic

✓ Valid for 2027O.R. procedure

Short description: Excision of Left Kidney, 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 0TB18ZZ

0TB18ZZ is the ICD-10-PCS code for a excision procedure on the left kidney using a via natural or artificial opening endoscopic approach. In ICD-10-PCS, excision means cutting out or off, without replacement, a portion of a body part.

In plain terms, this corresponds to other local destruction or excision of renal lesion or tissue and partial nephrectomy, the ICD-9-CM procedure titles it maps to (55.39 and 55.4).

For a different body part, codes include 0TB08ZZ (right kidney), 0TB38ZZ (right kidney pelvis), 0TB48ZZ (left kidney pelvis), 0TB68ZZ (right ureter), 0TB78ZZ (left ureter), 0TBB8ZZ (bladder) and 2 more.

The same procedure with a different approach is coded 0TB10ZZ (open), 0TB13ZZ (percutaneous), 0TB14ZZ (percutaneous endoscopic) and 0TB17ZZ (via natural or artificial opening).

It is an operating-room procedure in the MS-DRG logic for DRG 656 (Kidney and Ureter Procedures for Neoplasm with MCC), DRG 657 (Kidney and Ureter Procedures for Neoplasm with CC), DRG 658 (Kidney and Ureter Procedures for Neoplasm without CC/MCC), DRG 659 (Kidney and Ureter Procedures for Non-Neoplasm with MCC), DRG 660 (Kidney and Ureter Procedures for Non-Neoplasm with CC) and DRG 661 (Kidney and Ureter Procedures for Non-Neoplasm without CC/MCC), under the surgical categories “”, “Kidney and Ureter Procedures for Non-Neoplasm”, “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
TUrinary System
3. Operation
BExcision

Cutting out or off, without replacement, a portion of a body part

The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies

Includes: Partial nephrectomy, liver biopsy

4. Body Part
1Kidney, Left

Includes: Renal calyx; Renal capsule; Renal cortex; Renal segment

5. Approach
8Via Natural or Artificial Opening Endoscopic

Entry of instrumentation through a natural or artificial external opening to reach and visualize the site of the procedure

6. Device
ZNo Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

Different qualifier

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 →
  • 55.39Other local destruction or excision of renal lesion or tissueapproximate
  • 55.4Partial nephrectomyapproximate

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 0TB18ZZ

Is 0TB18ZZ a valid ICD-10-PCS code for 2027?

Yes. 0TB18ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0TB18ZZ an O.R. procedure?

Yes. 0TB18ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0TB18ZZ group to?

Depending on the principal diagnosis, 0TB18ZZ can group to MS-DRG 656, MS-DRG 657, MS-DRG 658, MS-DRG 659, MS-DRG 660 and MS-DRG 661.

What is the ICD-9 procedure code for 0TB18ZZ?

The CMS GEMs map 0TB18ZZ to ICD-9-CM 55.39 (Other local destruction or excision of renal lesion or tissue) and 55.4 (Partial nephrectomy).