ICD-10-PCS 2027 procedure code
0T778DZDilation of Left Ureter with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
Short description: Dilation of Left Ureter with Intraluminal Device, Endo
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 0T778DZ
0T778DZ is the ICD-10-PCS code for a dilation procedure on the left ureter using a via natural or artificial opening endoscopic approach with intraluminal device. In ICD-10-PCS, dilation means expanding an orifice or the lumen of a tubular body part.
In plain terms, this corresponds to ureteral catheterization, the ICD-9-CM procedure title it maps to (59.8).
For a different body part, codes include 0T738DZ (right kidney pelvis), 0T748DZ (left kidney pelvis), 0T768DZ (right ureter), 0T788DZ (bilateral ureters), 0T7B8DZ (bladder), 0T7C8DZ (bladder neck) and 1 more.
The same procedure with a different approach is coded 0T770DZ (open), 0T773DZ (percutaneous), 0T774DZ (percutaneous endoscopic) and 0T777DZ (via natural or artificial opening).
With a different device, use 0T778ZZ (no device).
It is an operating-room procedure in the MS-DRG logic for DRG 361 (Other Circulatory System O.R. Procedures with MCC), DRG 362 (Other Circulatory System O.R. Procedures without MCC), 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) and DRG 659 (Kidney and Ureter Procedures for Non-Neoplasm with MCC), under the surgical categories “Other Circulatory System O.R. Procedures”, “”, “Kidney and Ureter Procedures for Non-Neoplasm” and 2 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
- 7Dilation
Expanding an orifice or the lumen of a tubular body part
The orifice can be a natural orifice or an artificially created orifice. Accomplished by stretching a tubular body part using intraluminal pressure or by cutting part of the orifice or wall of the tubular body part
Includes: Percutaneous transluminal angioplasty, internal urethrotomy
- 4. Body Part
- 7Ureter, Left
- 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
- DIntraluminal Device
Includes: Absolute Pro Vascular (OTW) Self-Expanding Stent System; Acculink (RX) Carotid Stent System; AFX(R) Endovascular AAA System; AneuRx(R) AAA Advantage(R); Assurant (Cobalt) stent; Carotid WALLSTENT(R) Monorail(R) Endoprosthesis; CoAxia NeuroFlo catheter; Colonic Z-Stent(R); Complete (SE) stent; Cook Zenith AAA Endovascular Graft; Driver stent (RX) (OTW); E-Luminexx(tm) (Biliary)(Vascular) Stent; Embolization coil(s); Endologix AFX(R) Endovascular AAA System; Endurant(R) Endovascular Stent Graft; Endurant(R) II AAA stent graft system; EXCLUDER(R) AAA Endoprosthesis; Express(R) (LD) Premounted Stent System; Express(R) Biliary SD Monorail(R) Premounted Stent System; Express(R) SD Renal Monorail(R) Premounted Stent System; FLAIR(R) Endovascular Stent Graft; Formula(tm) Balloon-Expandable Renal Stent System; GORE EXCLUDER(R) AAA Endoprosthesis; GORE TAG(R) Thoracic Endoprosthesis; GORE(R) VIABAHN(R) Endoprosthesis; GORE(R) VIABIL(R) Biliary Endoprosthesis; Herculink (RX) Elite Renal Stent System; Innova(tm) stent; LifeStent(R) (Flexstar)(XL) Vascular Stent System; Medtronic Endurant(R) II AAA stent graft system; Micro-Driver stent (RX) (OTW); MULTI-LINK (VISION)(MINI-VISION)(ULTRA) Coronary Stent System; Omnilink Elite Vascular Balloon Expandable Stent System; Protege(R) RX Carotid Stent System; Stent, intraluminal (cardiovascular)(gastrointestinal)(hepatobiliary)(urinary); Talent(R) Converter; Talent(R) Occluder; Talent(R) Stent Graft (abdominal)(thoracic); Therapeutic occlusion coil(s); Ultraflex(tm) Precision Colonic Stent System; Valiant Thoracic Stent Graft; WALLSTENT(R) Endoprosthesis; Xact Carotid Stent System; Zenith AAA Endovascular Graft; Zenith Flex(R) AAA Endovascular Graft; Zenith TX2(R) TAA Endovascular Graft; Zenith(R) Renu(tm) AAA Ancillary Graft
- 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 05 · Diseases and Disorders of the Circulatory System · Other Circulatory System O.R. Procedures
MDC 11 · Diseases and Disorders of the Kidney and Urinary Tract
MDC 11 · Diseases and Disorders of the Kidney and Urinary Tract · Kidney and Ureter Procedures for Non-Neoplasm
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 →- 59.8Ureteral catheterizationapproximate
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 0T778DZ
Is 0T778DZ a valid ICD-10-PCS code for 2027?
- Yes. 0T778DZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0T778DZ an O.R. procedure?
- Yes. 0T778DZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0T778DZ group to?
- Depending on the principal diagnosis, 0T778DZ can group to MS-DRG 361, MS-DRG 362, MS-DRG 656, MS-DRG 657, MS-DRG 658 and MS-DRG 659.
What is the ICD-9 procedure code for 0T778DZ?
- The CMS GEMs map 0T778DZ to ICD-9-CM 59.8 (Ureteral catheterization).