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ICD-10-PCS 2027 procedure code

0TRD4JZReplacement of Urethra with Synthetic Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Replacement of Urethra with Synth Sub, Perc Endo 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 0TRD4JZ

0TRD4JZ is the ICD-10-PCS code for a replacement procedure on the urethra using a percutaneous endoscopic approach with synthetic substitute. In ICD-10-PCS, replacement means putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part.

In plain terms, this corresponds to other reconstruction of urethra, the ICD-9-CM procedure title it maps to (58.46).

For a different body part, codes include 0TR34JZ (right kidney pelvis), 0TR44JZ (left kidney pelvis), 0TR64JZ (right ureter), 0TR74JZ (left ureter), 0TRB4JZ (bladder) and 0TRC4JZ (bladder neck).

The same procedure with a different approach is coded 0TRD0JZ (open), 0TRD7JZ (via natural or artificial opening), 0TRD8JZ (via natural or artificial opening endoscopic) and 0TRDXJZ (external).

With a different device, use 0TRD47Z (autologous tissue substitute) and 0TRD4KZ (nonautologous tissue substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 671 (Urethral Procedures with CC/MCC), DRG 672 (Urethral Procedures without CC/MCC), DRG 709 (Penis Procedures with CC/MCC), DRG 710 (Penis Procedures without CC/MCC), DRG 907 (Other O.R. Procedures for Injuries with MCC) and DRG 908 (Other O.R. Procedures for Injuries with CC), under the surgical categories “Urethral Procedures”, “Penis Procedures”, “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
RReplacement

Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part

The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during the Replacement procedure. A Removal procedure is coded for taking out the device used in a previous replacement procedure

Includes: Total hip replacement, bone graft, free skin graft

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
JSynthetic Substitute

Includes: AbioCor(R) Total Replacement Heart; AMPLATZER(R) Muscular VSD Occluder; Annuloplasty ring; Bard(R) Composix(R) (E/X)(LP) mesh; Bard(R) Composix(R) Kugel(R) patch; Bard(R) Dulex(tm) mesh; Bard(R) Ventralex(tm) hernia patch; Barricaid(R) Annular Closure Device (ACD); BRYAN(R) Cervical Disc System; Corvia IASD(R); Ex-PRESS(tm) mini glaucoma shunt; Flexible Composite Mesh; GORE(R) ACUSEAL Vascular Graft; GORE(R) CARDIOFORM Septal Occluder; GORE(R) DUALMESH(R); GORE(R) PROPATEN(R) Vascular Graft; GORE(R) VIATORR(R) TIPS Endoprosthesis; Holter valve ventricular shunt; IASD(R) (InterAtrial Shunt Device), Corvia; InterAtrial Shunt Device IASD(R), Corvia; LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System; MitraClip valve repair system; Nitinol framed polymer mesh; Open Pivot (mechanical) valve; Open Pivot Aortic Valve Graft (AVG); Partially absorbable mesh; PHYSIOMESH(tm) Flexible Composite Mesh; Polymethylmethacrylate (PMMA); Polypropylene mesh; PRESTIGE(R) Cervical Disc; PROCEED(tm) Ventral Patch; Prodisc-C; Prodisc-L; PROLENE Polypropylene Hernia System (PHS); Rebound HRD(R) (Hernia Repair Device); SynCardia Total Artificial Heart; Total artificial (replacement) heart; ULTRAPRO Hernia System (UHS); ULTRAPRO Partially Absorbable Lightweight Mesh; ULTRAPRO Plug; V-Wave Interatrial Shunt System; Ventrio(tm) Hernia Patch; Zimmer(R) NexGen(R) LPS Mobile Bearing Knee; Zimmer(R) NexGen(R) LPS-Flex Mobile Knee

7. Qualifier
ZNo Qualifier

Other versions of this procedure

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

MDC 12 · Diseases and Disorders of the Male Reproductive System · Penis Procedures

ICD-9-CM equivalent

Converter →
  • 58.46Other reconstruction of urethraapproximate

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 0TRD4JZ

Is 0TRD4JZ a valid ICD-10-PCS code for 2027?

Yes. 0TRD4JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0TRD4JZ an O.R. procedure?

Yes. 0TRD4JZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0TRD4JZ group to?

Depending on the principal diagnosis, 0TRD4JZ can group to MS-DRG 671, MS-DRG 672, MS-DRG 709, MS-DRG 710, MS-DRG 907 and MS-DRG 908.

What is the ICD-9 procedure code for 0TRD4JZ?

The CMS GEMs map 0TRD4JZ to ICD-9-CM 58.46 (Other reconstruction of urethra).