ICD-10-PCS 2027 procedure code
0TVB4ZZRestriction of Bladder, Percutaneous Endoscopic 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 0TVB4ZZ
0TVB4ZZ is the ICD-10-PCS code for a restriction procedure on the bladder using a percutaneous endoscopic approach. In ICD-10-PCS, restriction means partially closing an orifice or the lumen of a tubular body part.
In plain terms, this corresponds to other repair of bladder, the ICD-9-CM procedure title it maps to (57.89).
For a different body part, codes include 0TV34ZZ (right kidney pelvis), 0TV44ZZ (left kidney pelvis), 0TV64ZZ (right ureter), 0TV74ZZ (left ureter), 0TVC4ZZ (bladder neck) and 0TVD4ZZ (urethra).
The same procedure with a different approach is coded 0TVB0ZZ (open), 0TVB3ZZ (percutaneous), 0TVB7ZZ (via natural or artificial opening) and 0TVB8ZZ (via natural or artificial opening endoscopic).
With a different device, use 0TVB4CZ (extraluminal device) and 0TVB4DZ (intraluminal device).
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 749 (Other Female Reproductive System O.R. Procedures with CC/MCC), DRG 750 (Other Female Reproductive System O.R. Procedures without CC/MCC) and DRG 907 (Other O.R. Procedures for Injuries with MCC), under the surgical categories “Major Bladder Procedures”, “Other Female Reproductive System O.R. 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
- VRestriction
Partially closing an orifice or the lumen of a tubular body part
The orifice can be a natural orifice or an artificially created orifice
Includes: Esophagogastric fundoplication, cervical cerclage
- 4. Body Part
- BBladder
Includes: Trigone of bladder
- 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 body part
Different approach
Different device
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 13 · Diseases and Disorders of the Female Reproductive System · Other Female Reproductive System O.R. Procedures
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 →- 57.89Other repair of bladderapproximate
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 0TVB4ZZ
Is 0TVB4ZZ a valid ICD-10-PCS code for 2027?
- Yes. 0TVB4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0TVB4ZZ an O.R. procedure?
- Yes. 0TVB4ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0TVB4ZZ group to?
- Depending on the principal diagnosis, 0TVB4ZZ can group to MS-DRG 653, MS-DRG 654, MS-DRG 655, MS-DRG 749, MS-DRG 750 and MS-DRG 907.
What is the ICD-9 procedure code for 0TVB4ZZ?
- The CMS GEMs map 0TVB4ZZ to ICD-9-CM 57.89 (Other repair of bladder).