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ICD-10-PCS 2027 procedure code

0TH541ZInsertion of Radioactive Element into Kidney, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Insertion of Radioact Elem into Kidney, Perc Endo Approach

Code last changed in FY2021 (effective October 1, 2020). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0TH541Z

0TH541Z is the ICD-10-PCS code for a insertion procedure on the kidney using a percutaneous endoscopic approach with radioactive element. In ICD-10-PCS, insertion means putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part.

For a different body part, codes include 0TH941Z (ureter), 0THB41Z (bladder) and 0THD41Z (urethra).

The same procedure with a different approach is coded 0TH501Z (open), 0TH531Z (percutaneous), 0TH571Z (via natural or artificial opening) and 0TH581Z (via natural or artificial opening endoscopic).

With a different device, use 0TH542Z (monitoring device), 0TH543Z (infusion device) and 0TH54YZ (other device).

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” and “Other O.R. Procedures for Injuries”.

It was added in FY2021, effective October 1, 2020.

What each character means

1. Section
0Medical and Surgical
2. Body System
TUrinary System
3. Operation
HInsertion

Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part

Includes: Insertion of radioactive implant, insertion of central venous catheter

4. Body Part
5Kidney

Includes: Renal calyx; Renal capsule; Renal cortex; Renal segment

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
1Radioactive Element

Includes: Brachytherapy seeds; CivaSheet(R)

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.

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
  • FY2021 (effective 10/1/2020): Added
  • No changes since FY2021.

Common questions about 0TH541Z

Is 0TH541Z a valid ICD-10-PCS code for 2027?

Yes. 0TH541Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0TH541Z an O.R. procedure?

Yes. 0TH541Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0TH541Z group to?

Depending on the principal diagnosis, 0TH541Z can group to MS-DRG 656, MS-DRG 657, MS-DRG 658, MS-DRG 659, MS-DRG 660 and MS-DRG 661.