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ICD-10-PCS 2027 procedure code

0THD81ZInsertion of Radioactive Element into Urethra, Via Natural or Artificial Opening Endoscopic

✓ Valid for 2027O.R. procedure

Short description: Insertion of Radioactive Element into Urethra, Endo

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 0THD81Z

0THD81Z is the ICD-10-PCS code for a insertion procedure on the urethra using a via natural or artificial opening 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 0TH581Z (kidney), 0TH981Z (ureter) and 0THB81Z (bladder).

The same procedure with a different approach is coded 0THD01Z (open), 0THD31Z (percutaneous), 0THD41Z (percutaneous endoscopic) and 0THD71Z (via natural or artificial opening).

With a different device, use 0THD82Z (monitoring device), 0THD83Z (infusion device), 0THD8LZ (artificial sphincter) and 0THD8YZ (other device).

It is an operating-room procedure in the MS-DRG logic for DRG 671 (Urethral Procedures with CC/MCC), DRG 672 (Urethral 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 “Urethral Procedures” 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
DUrethra

Includes: Bulbourethral (Cowper's) gland; Cowper's (bulbourethral) gland; External urethral sphincter; Internal urethral sphincter; Membranous urethra; Penile urethra; Prostatic urethra

5. Approach
8Via Natural or Artificial Opening Endoscopic

Entry of instrumentation through a natural or artificial external opening 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.

MDC 11 · Diseases and Disorders of the Kidney and Urinary Tract · Urethral Procedures

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 0THD81Z

Is 0THD81Z a valid ICD-10-PCS code for 2027?

Yes. 0THD81Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0THD81Z an O.R. procedure?

Yes. 0THD81Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0THD81Z group to?

Depending on the principal diagnosis, 0THD81Z can group to MS-DRG 671, MS-DRG 672, MS-DRG 907, MS-DRG 908 and MS-DRG 909.