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ICD-10-PCS 2027 procedure code

0TW58YZRevision of Other Device in Kidney, Via Natural or Artificial Opening Endoscopic

✓ Valid for 2027O.R. procedure

Short description: Revision of Other Device in Kidney, Endo

Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0TW58YZ

0TW58YZ is the ICD-10-PCS code for a revision procedure on the kidney using a via natural or artificial opening endoscopic approach with other device. In ICD-10-PCS, revision means correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device.

In plain terms, this corresponds to Nephrotomy, the ICD-9-CM procedure title it maps to (55.01).

For a different body part, codes include 0TW98YZ (ureter), 0TWB8YZ (bladder) and 0TWD8YZ (urethra).

The same procedure with a different approach is coded 0TW50YZ (open), 0TW53YZ (percutaneous), 0TW54YZ (percutaneous endoscopic) and 0TW57YZ (via natural or artificial opening).

With a different device, use 0TW580Z (drainage device), 0TW582Z (monitoring device), 0TW583Z (infusion device), 0TW587Z (autologous tissue substitute), 0TW58CZ (extraluminal device), 0TW58DZ (intraluminal device) and 2 more.

It is an operating-room procedure in the MS-DRG logic for DRG 656 (Kidney and Ureter Procedures for Neoplasm with MCC), DRG 657 (Kidney and Ureter Procedures for Neoplasm with CC), DRG 658 (Kidney and Ureter Procedures for Neoplasm without CC/MCC), DRG 659 (Kidney and Ureter Procedures for Non-Neoplasm with MCC), DRG 660 (Kidney and Ureter Procedures for Non-Neoplasm with CC) and DRG 661 (Kidney and Ureter Procedures for Non-Neoplasm without CC/MCC), under the surgical categories “”, “Kidney and Ureter Procedures for Non-Neoplasm” and “Other O.R. Procedures for Injuries”.

It was added in FY2018, effective October 1, 2017.

What each character means

1. Section
0Medical and Surgical
2. Body System
TUrinary System
3. Operation
WRevision

Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device

Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as a screw or pin

Includes: Adjustment of position of pacemaker lead, recementing of hip prosthesis

4. Body Part
5Kidney

Includes: Renal calyx; Renal capsule; Renal cortex; Renal segment

5. Approach
8Via Natural or Artificial Opening Endoscopic

Entry of instrumentation through a natural or artificial external opening to reach and visualize the site of the procedure

6. Device
YOther Device

Includes: Alfapump(R) system

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.

ICD-9-CM equivalent

Converter →
  • 55.01Nephrotomyapproximate

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
  • FY2018 (effective 10/1/2017): Added
  • No changes since FY2018.

Common questions about 0TW58YZ

Is 0TW58YZ a valid ICD-10-PCS code for 2027?

Yes. 0TW58YZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0TW58YZ an O.R. procedure?

Yes. 0TW58YZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0TW58YZ group to?

Depending on the principal diagnosis, 0TW58YZ can group to MS-DRG 656, MS-DRG 657, MS-DRG 658, MS-DRG 659, MS-DRG 660 and MS-DRG 661.

What is the ICD-9 procedure code for 0TW58YZ?

The CMS GEMs map 0TW58YZ to ICD-9-CM 55.01 (Nephrotomy).