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ICD-10-PCS 2027 procedure code

0TCB4ZZExtirpation of Matter from Bladder, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Extirpation of Matter from Bladder, 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 0TCB4ZZ

0TCB4ZZ is the ICD-10-PCS code for a extirpation procedure on the bladder 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 other cystotomy, the ICD-9-CM procedure title it maps to (57.19).

For a different body part, codes include 0TC04ZZ (right kidney), 0TC14ZZ (left kidney), 0TC34ZZ (right kidney pelvis), 0TC44ZZ (left kidney pelvis), 0TC64ZZ (right ureter), 0TC74ZZ (left ureter) and 2 more.

The same procedure with a different approach is coded 0TCB0ZZ (open), 0TCB3ZZ (percutaneous), 0TCB7ZZ (via natural or artificial opening) and 0TCB8ZZ (via natural or artificial opening endoscopic).

It is an operating-room procedure in the MS-DRG logic for DRG 662 (Minor Bladder Procedures with MCC), DRG 663 (Minor Bladder Procedures with CC), DRG 664 (Minor Bladder 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 “Minor Bladder Procedures” and “Other O.R. Procedures for Injuries”.

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
BBladder

Includes: Trigone of bladder

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 →
  • 57.19Other cystotomyapproximate

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 0TCB4ZZ

Is 0TCB4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0TCB4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0TCB4ZZ an O.R. procedure?

Yes. 0TCB4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0TCB4ZZ group to?

Depending on the principal diagnosis, 0TCB4ZZ can group to MS-DRG 662, MS-DRG 663, MS-DRG 664, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0TCB4ZZ?

The CMS GEMs map 0TCB4ZZ to ICD-9-CM 57.19 (Other cystotomy).