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ICD-10-PCS 2027 procedure code

0T504ZZDestruction of Right Kidney, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Destruction of Right Kidney, 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 0T504ZZ

0T504ZZ is the ICD-10-PCS code for a destruction procedure on the right kidney using a percutaneous endoscopic approach. In ICD-10-PCS, destruction means physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent.

In plain terms, this corresponds to laparoscopic ablation of renal lesion or tissue and other local destruction or excision of renal lesion or tissue, the ICD-9-CM procedure titles it maps to (55.34 and 55.39).

For a different body part, codes include 0T514ZZ (left kidney), 0T534ZZ (right kidney pelvis), 0T544ZZ (left kidney pelvis), 0T564ZZ (right ureter), 0T574ZZ (left ureter), 0T5B4ZZ (bladder) and 2 more.

The same procedure with a different approach is coded 0T500ZZ (open), 0T503ZZ (percutaneous), 0T507ZZ (via natural or artificial opening) and 0T508ZZ (via natural or artificial opening endoscopic).

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 “” and “Kidney and Ureter Procedures for Non-Neoplasm”.

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
5Destruction

Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent

None of the body part is physically taken out

Includes: Fulguration of rectal polyp, cautery of skin lesion

4. Body Part
0Kidney, Right
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.

ICD-9-CM equivalent

Converter →
  • 55.34Laparoscopic ablation of renal lesion or tissueapproximate
  • 55.39Other local destruction or excision of renal lesion or tissueapproximate

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 0T504ZZ

Is 0T504ZZ a valid ICD-10-PCS code for 2027?

Yes. 0T504ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0T504ZZ an O.R. procedure?

Yes. 0T504ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0T504ZZ group to?

Depending on the principal diagnosis, 0T504ZZ 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 0T504ZZ?

The CMS GEMs map 0T504ZZ to ICD-9-CM 55.34 (Laparoscopic ablation of renal lesion or tissue) and 55.39 (Other local destruction or excision of renal lesion or tissue).