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ICD-10-PCS 2027 procedure code

0TBD4ZZExcision of Urethra, 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 0TBD4ZZ

0TBD4ZZ is the ICD-10-PCS code for a excision procedure on the urethra using a percutaneous 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 endoscopic excision or destruction of lesion or tissue of urethra and excision of periurethral tissue, the ICD-9-CM procedure titles it maps to (58.31 and 58.92).

For a different body part, codes include 0TB04ZZ (right kidney), 0TB14ZZ (left kidney), 0TB34ZZ (right kidney pelvis), 0TB44ZZ (left kidney pelvis), 0TB64ZZ (right ureter), 0TB74ZZ (left ureter) and 2 more.

The same procedure with a different approach is coded 0TBD0ZZ (open), 0TBD3ZZ (percutaneous), 0TBD7ZZ (via natural or artificial opening), 0TBD8ZZ (via natural or artificial opening endoscopic) and 0TBDXZZ (external).

It is an operating-room procedure in the MS-DRG logic for DRG 671 (Urethral Procedures with CC/MCC) and DRG 672 (Urethral Procedures without CC/MCC), under the surgical category “Urethral 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
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
DUrethra

Includes: Bulbourethral (Cowper's) gland; Cowper's (bulbourethral) gland; External urethral sphincter; Internal urethral sphincter; Membranous urethra; Penile urethra; Prostatic urethra

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

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 · Urethral Procedures

ICD-9-CM equivalent

Converter →
  • 58.31Endoscopic excision or destruction of lesion or tissue of urethraapproximate
  • 58.92Excision of periurethral tissueapproximate

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 0TBD4ZZ

Is 0TBD4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0TBD4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0TBD4ZZ an O.R. procedure?

Yes. 0TBD4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0TBD4ZZ group to?

Depending on the principal diagnosis, 0TBD4ZZ can group to MS-DRG 671 and MS-DRG 672.

What is the ICD-9 procedure code for 0TBD4ZZ?

The CMS GEMs map 0TBD4ZZ to ICD-9-CM 58.31 (Endoscopic excision or destruction of lesion or tissue of urethra) and 58.92 (Excision of periurethral tissue).