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ICD-10-PCS 2027 procedure code

0T25XYZChange Other Device in Kidney, External Approach

✓ Valid for 2027

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 0T25XYZ

0T25XYZ is the ICD-10-PCS code for a change procedure on the kidney using an external approach with other device. In ICD-10-PCS, change means taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without cutting or puncturing the skin or a mucous membrane.

In plain terms, this corresponds to replacement of nephrostomy tube and replacement of pyelostomy tube, the ICD-9-CM procedure titles it maps to (55.93 and 55.94).

For a different body part, codes include 0T29XYZ (ureter), 0T2BXYZ (bladder) and 0T2DXYZ (urethra).

With a different device, use 0T25X0Z (drainage device).

It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.

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
2Change

Taking out or off a device from a body part and putting back an identical or similar device in or on the same body part without cutting or puncturing the skin or a mucous membrane

All CHANGE procedures are coded using the approach EXTERNAL

Includes: Urinary catheter change, gastrostomy tube change

4. Body Part
5Kidney

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

5. Approach
XExternal

Procedures performed directly on the skin or mucous membrane and procedures performed indirectly by the application of external force through the skin or mucous membrane

6. Device
YOther Device

Includes: Alfapump(R) system

7. Qualifier
ZNo Qualifier

Other versions of this procedure

Different device

ICD-9-CM equivalent

Converter →
  • 55.93Replacement of nephrostomy tubeapproximate
  • 55.94Replacement of pyelostomy tubeapproximate

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 0T25XYZ

Is 0T25XYZ a valid ICD-10-PCS code for 2027?

Yes. 0T25XYZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 0T25XYZ?

The CMS GEMs map 0T25XYZ to ICD-9-CM 55.93 (Replacement of nephrostomy tube) and 55.94 (Replacement of pyelostomy tube).