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ICD-10-PCS 2027 procedure code

0THC4LZInsertion of Artificial Sphincter into Bladder Neck, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Insert Artif Sphincter in Bladder Neck, Perc Endo

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 0THC4LZ

0THC4LZ is the ICD-10-PCS code for a insertion procedure on the bladder neck using a percutaneous endoscopic approach with artificial sphincter. 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.

In plain terms, this corresponds to implantation of artificial urinary sphincter [AUS], the ICD-9-CM procedure title it maps to (58.93).

For a different body part, codes include 0THB4LZ (bladder) and 0THD4LZ (urethra).

The same procedure with a different approach is coded 0THC0LZ (open), 0THC3LZ (percutaneous), 0THC7LZ (via natural or artificial opening) and 0THC8LZ (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”, “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
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
CBladder Neck
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
LArtificial Sphincter
7. Qualifier
ZNo Qualifier

Other versions of this procedure

Different body part

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 →
  • 58.93Implantation of artificial urinary sphincter [AUS]approximate

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 0THC4LZ

Is 0THC4LZ a valid ICD-10-PCS code for 2027?

Yes. 0THC4LZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0THC4LZ an O.R. procedure?

Yes. 0THC4LZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0THC4LZ group to?

Depending on the principal diagnosis, 0THC4LZ 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 0THC4LZ?

The CMS GEMs map 0THC4LZ to ICD-9-CM 58.93 (Implantation of artificial urinary sphincter [AUS]).