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ICD-10-PCS 2027 procedure code

0TB00ZXExcision of Right Kidney, Open Approach, Diagnostic

✓ Valid for 2027O.R. procedure

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

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 →
  • 55.24Open biopsy of kidneyapproximate
  • 59.21Biopsy of perirenal or perivesical 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 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).