ICD-10-PCS 2027 procedure code
0TLC4ZZOcclusion of Bladder Neck, Percutaneous Endoscopic 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 0TLC4ZZ
0TLC4ZZ is the ICD-10-PCS code for a occlusion procedure on the bladder neck using a percutaneous 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 other operations on bladder, the ICD-9-CM procedure title it maps to (57.99).
For a different body part, codes include 0TL34ZZ (right kidney pelvis), 0TL44ZZ (left kidney pelvis), 0TL64ZZ (right ureter), 0TL74ZZ (left ureter), 0TLB4ZZ (bladder) and 0TLD4ZZ (urethra).
The same procedure with a different approach is coded 0TLC0ZZ (open), 0TLC3ZZ (percutaneous), 0TLC7ZZ (via natural or artificial opening) and 0TLC8ZZ (via natural or artificial opening endoscopic).
With a different device, use 0TLC4CZ (extraluminal device) and 0TLC4DZ (intraluminal 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
- 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
- ZNo Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
Different approach
Different device
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 · Minor Bladder Procedures
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →- 57.99Other operations on bladderapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 0TLC4ZZ
Is 0TLC4ZZ a valid ICD-10-PCS code for 2027?
- Yes. 0TLC4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0TLC4ZZ an O.R. procedure?
- Yes. 0TLC4ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0TLC4ZZ group to?
- Depending on the principal diagnosis, 0TLC4ZZ 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 0TLC4ZZ?
- The CMS GEMs map 0TLC4ZZ to ICD-9-CM 57.99 (Other operations on bladder).