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ICD-10-PCS 2027 procedure code

0TC44ZZExtirpation of Matter from Left Kidney Pelvis, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Extirpate of Matter from L Kidney Pelvis, 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 0TC44ZZ

0TC44ZZ is the ICD-10-PCS code for a extirpation procedure on the left kidney pelvis using a percutaneous endoscopic approach. In ICD-10-PCS, extirpation means taking or cutting out solid matter from a body part.

In plain terms, this corresponds to percutaneous nephrostomy without fragmentation, the ICD-9-CM procedure title it maps to (55.03).

For a different body part, codes include 0TC04ZZ (right kidney), 0TC14ZZ (left kidney), 0TC34ZZ (right kidney pelvis), 0TC64ZZ (right ureter), 0TC74ZZ (left ureter), 0TCB4ZZ (bladder) and 2 more.

The same procedure with a different approach is coded 0TC40ZZ (open), 0TC43ZZ (percutaneous), 0TC47ZZ (via natural or artificial opening) and 0TC48ZZ (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 “”, “Kidney and Ureter Procedures for Non-Neoplasm”, “Other O.R. Procedures for Injuries” and 1 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
CExtirpation

Taking or cutting out solid matter from a body part

The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces

Includes: Thrombectomy, choledocholithotomy

4. Body Part
4Kidney Pelvis, Left

Includes: Ureteropelvic junction (UPJ)

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 →
  • 55.03Percutaneous nephrostomy without fragmentationapproximate

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 0TC44ZZ

Is 0TC44ZZ a valid ICD-10-PCS code for 2027?

Yes. 0TC44ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0TC44ZZ an O.R. procedure?

Yes. 0TC44ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0TC44ZZ group to?

Depending on the principal diagnosis, 0TC44ZZ 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 0TC44ZZ?

The CMS GEMs map 0TC44ZZ to ICD-9-CM 55.03 (Percutaneous nephrostomy without fragmentation).