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ICD-10-PCS 2027 procedure code

0TF44ZZFragmentation in Left Kidney Pelvis, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Fragmentation in Left 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 0TF44ZZ

0TF44ZZ is the ICD-10-PCS code for a fragmentation procedure on the left kidney pelvis using a percutaneous endoscopic approach. In ICD-10-PCS, fragmentation means breaking solid matter in a body part into pieces.

In plain terms, this corresponds to percutaneous nephrostomy with fragmentation, the ICD-9-CM procedure title it maps to (55.04).

For a different body part, codes include 0TF34ZZ (right kidney pelvis), 0TF64ZZ (right ureter), 0TF74ZZ (left ureter), 0TFB4ZZ (bladder), 0TFC4ZZ (bladder neck) and 0TFD4ZZ (urethra).

The same procedure with a different approach is coded 0TF40ZZ (open), 0TF43ZZ (percutaneous), 0TF47ZZ (via natural or artificial opening), 0TF48ZZ (via natural or artificial opening endoscopic) and 0TF4XZZ (external).

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
FFragmentation

Breaking solid matter in a body part into pieces

Physical force (e.g., manual, ultrasonic) applied directly or indirectly is used to break the solid matter into pieces. The solid matter may be an abnormal byproduct of a biological function or a foreign body. The pieces of solid matter are not taken out

Includes: Extracorporeal shockwave lithotripsy, transurethral lithotripsy

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 →
  • 55.04Percutaneous nephrostomy with 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 0TF44ZZ

Is 0TF44ZZ a valid ICD-10-PCS code for 2027?

Yes. 0TF44ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0TF44ZZ an O.R. procedure?

Yes. 0TF44ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0TF44ZZ group to?

Depending on the principal diagnosis, 0TF44ZZ 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 0TF44ZZ?

The CMS GEMs map 0TF44ZZ to ICD-9-CM 55.04 (Percutaneous nephrostomy with fragmentation).