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ICD-10-PCS 2027 procedure code

0TLB4CZOcclusion of Bladder with Extraluminal Device, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Occlusion of Bladder with Extralum Dev, Perc Endo Approach

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 0TLB4CZ

0TLB4CZ is the ICD-10-PCS code for a occlusion procedure on the bladder using a percutaneous endoscopic approach with extraluminal device. In ICD-10-PCS, occlusion means completely closing an orifice or the lumen of a tubular body part.

In plain terms, this corresponds to other operations on bladder, the ICD-9-CM procedure title it maps to (57.99).

For a different body part, codes include 0TL34CZ (right kidney pelvis), 0TL44CZ (left kidney pelvis), 0TL64CZ (right ureter), 0TL74CZ (left ureter), 0TLC4CZ (bladder neck) and 0TLD4CZ (urethra).

The same procedure with a different approach is coded 0TLB0CZ (open) and 0TLB3CZ (percutaneous).

With a different device, use 0TLB4DZ (intraluminal device) and 0TLB4ZZ (no device).

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
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
BBladder

Includes: Trigone of bladder

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
CExtraluminal Device

Includes: AtriClip LAA Exclusion System; LAP-BAND(R) adjustable gastric banding system; REALIZE(R) Adjustable Gastric Band

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 →
  • 57.99Other operations on 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 0TLB4CZ

Is 0TLB4CZ a valid ICD-10-PCS code for 2027?

Yes. 0TLB4CZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0TLB4CZ an O.R. procedure?

Yes. 0TLB4CZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0TLB4CZ group to?

Depending on the principal diagnosis, 0TLB4CZ 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 0TLB4CZ?

The CMS GEMs map 0TLB4CZ to ICD-9-CM 57.99 (Other operations on bladder).