ICD-10-PCS 2027 procedure code
0TBB0ZZExcision of Bladder, Open Approach
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 0TBB0ZZ
0TBB0ZZ is the ICD-10-PCS code for a excision procedure on the bladder using an open 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 open excision or destruction of other lesion or tissue of bladder, partial cystectomy and excision of perirenal or perivesical tissue, the ICD-9-CM procedure titles it maps to (57.59, 57.6 and 59.91).
For a different body part, codes include 0TB00ZZ (right kidney), 0TB10ZZ (left kidney), 0TB30ZZ (right kidney pelvis), 0TB40ZZ (left kidney pelvis), 0TB60ZZ (right ureter), 0TB70ZZ (left ureter) and 2 more.
The same procedure with a different approach is coded 0TBB3ZZ (percutaneous), 0TBB4ZZ (percutaneous endoscopic), 0TBB7ZZ (via natural or artificial opening) and 0TBB8ZZ (via natural or artificial opening endoscopic).
It is an operating-room procedure in the MS-DRG logic for DRG 653 (Major Bladder Procedures with MCC), DRG 654 (Major Bladder Procedures with CC), DRG 655 (Major Bladder Procedures without CC/MCC), DRG 707 (Major Male Pelvic Procedures with CC/MCC), DRG 708 (Major Male Pelvic Procedures without CC/MCC) and DRG 749 (Other Female Reproductive System O.R. Procedures with CC/MCC), under the surgical categories “Major Bladder Procedures”, “Major Male Pelvic Procedures”, “Other Female Reproductive System O.R. Procedures” and 4 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
- BBladder
Includes: Trigone of bladder
- 5. Approach
- 0Open
Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure
- 6. Device
- ZNo Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
Different approach
Different qualifier
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 11 · Diseases and Disorders of the Kidney and Urinary Tract · Major Bladder Procedures
MDC 12 · Diseases and Disorders of the Male Reproductive System · Major Male Pelvic Procedures
MDC 13 · Diseases and Disorders of the Female Reproductive System · Other Female Reproductive System O.R. Procedures
MDC 17 · Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms · Lymphoma and Leukemia with Major O.R. Procedures
MDC 17 · Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms · Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
- 826Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCCRW 4.7581
- 827Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with CCRW 2.3896
- 828Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures without CC/MCCRW 1.6955
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →- 57.59Open excision or destruction of other lesion or tissue of bladderapproximate
- 57.6Partial cystectomyapproximate
- 59.91Excision of perirenal or perivesical tissueapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 0TBB0ZZ
Is 0TBB0ZZ a valid ICD-10-PCS code for 2027?
- Yes. 0TBB0ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0TBB0ZZ an O.R. procedure?
- Yes. 0TBB0ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0TBB0ZZ group to?
- Depending on the principal diagnosis, 0TBB0ZZ can group to MS-DRG 653, MS-DRG 654, MS-DRG 655, MS-DRG 707, MS-DRG 708 and MS-DRG 749.
What is the ICD-9 procedure code for 0TBB0ZZ?
- The CMS GEMs map 0TBB0ZZ to ICD-9-CM 57.59 (Open excision or destruction of other lesion or tissue of bladder), 57.6 (Partial cystectomy) and 59.91 (Excision of perirenal or perivesical tissue).