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ICD-10-PCS 2027 procedure code

0TVC4ZZRestriction of Bladder Neck, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Restriction of Bladder Neck, 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 0TVC4ZZ

0TVC4ZZ is the ICD-10-PCS code for a restriction procedure on the bladder neck 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 Cystourethroplasty and plastic repair of bladder neck, the ICD-9-CM procedure title it maps to (57.85).

For a different body part, codes include 0TV34ZZ (right kidney pelvis), 0TV44ZZ (left kidney pelvis), 0TV64ZZ (right ureter), 0TV74ZZ (left ureter), 0TVB4ZZ (bladder) and 0TVD4ZZ (urethra).

The same procedure with a different approach is coded 0TVC0ZZ (open), 0TVC3ZZ (percutaneous), 0TVC7ZZ (via natural or artificial opening) and 0TVC8ZZ (via natural or artificial opening endoscopic).

With a different device, use 0TVC4CZ (extraluminal device) and 0TVC4DZ (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) and DRG 748 (Female Reproductive System Reconstructive Procedures), under the surgical categories “Major Bladder Procedures” and “Female Reproductive System Reconstructive 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
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
CBladder Neck
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

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

MDC 13 · Diseases and Disorders of the Female Reproductive System · Female Reproductive System Reconstructive Procedures

ICD-9-CM equivalent

Converter →
  • 57.85Cystourethroplasty and plastic repair of bladder neckapproximate

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 0TVC4ZZ

Is 0TVC4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0TVC4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0TVC4ZZ an O.R. procedure?

Yes. 0TVC4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0TVC4ZZ group to?

Depending on the principal diagnosis, 0TVC4ZZ can group to MS-DRG 653, MS-DRG 654, MS-DRG 655 and MS-DRG 748.

What is the ICD-9 procedure code for 0TVC4ZZ?

The CMS GEMs map 0TVC4ZZ to ICD-9-CM 57.85 (Cystourethroplasty and plastic repair of bladder neck).