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ICD-10-PCS 2027 procedure code

0TL68ZZOcclusion of Right Ureter, Via Natural or Artificial Opening Endoscopic

✓ Valid for 2027O.R. procedure

Short description: Occlusion of Right Ureter, 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 0TL68ZZ

0TL68ZZ is the ICD-10-PCS code for a occlusion procedure on the right ureter using a via natural or artificial opening endoscopic approach. In ICD-10-PCS, occlusion means completely closing an orifice or the lumen of a tubular body part.

In plain terms, this corresponds to ligation of ureter, the ICD-9-CM procedure title it maps to (56.95).

For a different body part, codes include 0TL38ZZ (right kidney pelvis), 0TL48ZZ (left kidney pelvis), 0TL78ZZ (left ureter), 0TLB8ZZ (bladder), 0TLC8ZZ (bladder neck) and 0TLD8ZZ (urethra).

The same procedure with a different approach is coded 0TL60ZZ (open), 0TL63ZZ (percutaneous), 0TL64ZZ (percutaneous endoscopic) and 0TL67ZZ (via natural or artificial opening).

With a different device, use 0TL68DZ (intraluminal 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”, “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
LOcclusion

Completely closing an orifice or the lumen of a tubular body part

The orifice can be a natural orifice or an artificially created orifice

Includes: Fallopian tube ligation, ligation of inferior vena cava

4. Body Part
6Ureter, Right
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
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 →
  • 56.95Ligation of ureterapproximate

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 0TL68ZZ

Is 0TL68ZZ a valid ICD-10-PCS code for 2027?

Yes. 0TL68ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0TL68ZZ an O.R. procedure?

Yes. 0TL68ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0TL68ZZ group to?

Depending on the principal diagnosis, 0TL68ZZ 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 0TL68ZZ?

The CMS GEMs map 0TL68ZZ to ICD-9-CM 56.95 (Ligation of ureter).