ICD-10-PCS 2027 procedure code
0TB00ZXExcision of Right Kidney, Open Approach, Diagnostic
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 0TB00ZX
0TB00ZX is the ICD-10-PCS code for a excision procedure on the right kidney using an open approach (qualifier: diagnostic). In ICD-10-PCS, excision means cutting out or off, without replacement, a portion of a body part.
In plain terms, this corresponds to open biopsy of kidney and biopsy of perirenal or perivesical tissue, the ICD-9-CM procedure titles it maps to (55.24 and 59.21).
For a different body part, codes include 0TB10ZX (left kidney), 0TB30ZX (right kidney pelvis), 0TB40ZX (left kidney pelvis), 0TB60ZX (right ureter), 0TB70ZX (left ureter), 0TBB0ZX (bladder) and 2 more.
The same procedure with a different approach is coded 0TB03ZX (percutaneous), 0TB04ZX (percutaneous endoscopic), 0TB07ZX (via natural or artificial opening) and 0TB08ZX (via natural or artificial opening endoscopic).
It is an operating-room procedure in the MS-DRG logic for DRG 515 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC), DRG 516 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC), DRG 517 (Other Musculoskeletal System and Connective Tissue O.R. Procedures without CC/MCC), DRG 656 (Kidney and Ureter Procedures for Neoplasm with MCC), DRG 657 (Kidney and Ureter Procedures for Neoplasm with CC) and DRG 658 (Kidney and Ureter Procedures for Neoplasm without CC/MCC), under the surgical categories “Other Musculoskeletal System and Connective Tissue O.R. Procedures”, “”, “Kidney and Ureter Procedures for Non-Neoplasm” and 5 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
- BExcision
Cutting out or off, without replacement, a portion of a body part
The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies
Includes: Partial nephrectomy, liver biopsy
- 4. Body Part
- 0Kidney, Right
- 5. Approach
- 0Open
Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure
- 6. Device
- ZNo Device
- 7. Qualifier
- XDiagnostic
Other versions of this procedure
Different body part
Different approach
Different qualifier
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Other Musculoskeletal System and Connective Tissue 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 16 · Diseases and Disorders of the Blood and Blood Forming Organs and Immunological Disorders · Other O.R. Procedures of the Blood and Blood Forming Organs
MDC 17 · Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms · Lymphoma and Leukemia with Major O.R. Procedures
MDC 17 · Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms · Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
- 826Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCCRW 4.7581
- 827Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with CCRW 2.3896
- 828Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures without CC/MCCRW 1.6955
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 →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 0TB00ZX
Is 0TB00ZX a valid ICD-10-PCS code for 2027?
- Yes. 0TB00ZX is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0TB00ZX an O.R. procedure?
- Yes. 0TB00ZX is an O.R. procedure in MS-DRG v44.0.
What DRG does 0TB00ZX group to?
- Depending on the principal diagnosis, 0TB00ZX can group to MS-DRG 515, MS-DRG 516, MS-DRG 517, MS-DRG 656, MS-DRG 657 and MS-DRG 658.
What is the ICD-9 procedure code for 0TB00ZX?
- The CMS GEMs map 0TB00ZX to ICD-9-CM 55.24 (Open biopsy of kidney) and 59.21 (Biopsy of perirenal or perivesical tissue).