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ICD-10-PCS 2027 procedure code

0TF4XZZFragmentation in Left Kidney Pelvis, External Approach

✓ Valid for 2027

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 0TF4XZZ

0TF4XZZ is the ICD-10-PCS code for a fragmentation procedure on the left kidney pelvis using an external approach. In ICD-10-PCS, fragmentation means breaking solid matter in a body part into pieces.

In plain terms, this corresponds to extracorporeal shockwave lithotripsy [ESWL] of the kidney, ureter and/or bladder, the ICD-9-CM procedure title it maps to (98.51).

For a different body part, codes include 0TF3XZZ (right kidney pelvis), 0TF6XZZ (right ureter), 0TF7XZZ (left ureter), 0TFBXZZ (bladder), 0TFCXZZ (bladder neck) and 0TFDXZZ (urethra).

The same procedure with a different approach is coded 0TF40ZZ (open), 0TF43ZZ (percutaneous), 0TF44ZZ (percutaneous endoscopic), 0TF47ZZ (via natural or artificial opening) and 0TF48ZZ (via natural or artificial opening endoscopic).

It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.

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
XExternal

Procedures performed directly on the skin or mucous membrane and procedures performed indirectly by the application of external force through the skin or mucous membrane

6. Device
ZNo Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

ICD-9-CM equivalent

Converter →
  • 98.51Extracorporeal shockwave lithotripsy [ESWL] of the kidney, ureter and/or bladderapproximate

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 0TF4XZZ

Is 0TF4XZZ a valid ICD-10-PCS code for 2027?

Yes. 0TF4XZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 0TF4XZZ?

The CMS GEMs map 0TF4XZZ to ICD-9-CM 98.51 (Extracorporeal shockwave lithotripsy [ESWL] of the kidney, ureter and/or bladder).