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ICD-10-PCS 2027 procedure code

0TC47ZZExtirpation of Matter from Left Kidney Pelvis, Via Natural or Artificial Opening

✓ Valid for 2027O.R. procedure

Short description: Extirpation of Matter from Left Kidney Pelvis, Via Opening

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 0TC47ZZ

0TC47ZZ is the ICD-10-PCS code for a extirpation procedure on the left kidney pelvis using a via natural or artificial opening approach. In ICD-10-PCS, extirpation means taking or cutting out solid matter from a body part.

In plain terms, this corresponds to transurethral removal of obstruction from ureter and renal pelvis, the ICD-9-CM procedure title it maps to (56.0).

For a different body part, codes include 0TC07ZZ (right kidney), 0TC17ZZ (left kidney), 0TC37ZZ (right kidney pelvis), 0TC67ZZ (right ureter), 0TC77ZZ (left ureter), 0TCB7ZZ (bladder) and 2 more.

The same procedure with a different approach is coded 0TC40ZZ (open), 0TC43ZZ (percutaneous), 0TC44ZZ (percutaneous endoscopic) and 0TC48ZZ (via natural or artificial opening endoscopic).

It is an operating-room procedure in the MS-DRG logic for DRG 668 (Transurethral Procedures with MCC), DRG 669 (Transurethral Procedures with CC), DRG 670 (Transurethral Procedures without CC/MCC), DRG 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC) and DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), under the surgical categories “Transurethral Procedures”, “Other O.R. Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.

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
7Via Natural or Artificial Opening

Entry of instrumentation through a natural or artificial external opening to reach 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 →
  • 56.0Transurethral removal of obstruction from ureter and renal pelvisapproximate

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 0TC47ZZ

Is 0TC47ZZ a valid ICD-10-PCS code for 2027?

Yes. 0TC47ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0TC47ZZ an O.R. procedure?

Yes. 0TC47ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0TC47ZZ group to?

Depending on the principal diagnosis, 0TC47ZZ can group to MS-DRG 668, MS-DRG 669, MS-DRG 670, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0TC47ZZ?

The CMS GEMs map 0TC47ZZ to ICD-9-CM 56.0 (Transurethral removal of obstruction from ureter and renal pelvis).