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ICD-10-PCS 2027 procedure code

0TLD4ZZOcclusion of Urethra, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

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 0TLD4ZZ

0TLD4ZZ is the ICD-10-PCS code for a occlusion procedure on the urethra 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 urethra and periurethral tissue, the ICD-9-CM procedure title it maps to (58.99).

For a different body part, codes include 0TL34ZZ (right kidney pelvis), 0TL44ZZ (left kidney pelvis), 0TL64ZZ (right ureter), 0TL74ZZ (left ureter), 0TLB4ZZ (bladder) and 0TLC4ZZ (bladder neck).

The same procedure with a different approach is coded 0TLD0ZZ (open), 0TLD3ZZ (percutaneous), 0TLD7ZZ (via natural or artificial opening), 0TLD8ZZ (via natural or artificial opening endoscopic) and 0TLDXZZ (external).

With a different device, use 0TLD4CZ (extraluminal device) and 0TLD4DZ (intraluminal 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 715 (Male Reproductive System and Other O.R. Procedures for Malignancy with CC/MCC), DRG 716 (Male Reproductive System and Other O.R. Procedures for Malignancy without CC/MCC), DRG 717 (Other Male Reproductive System O.R. Procedures with CC/MCC) and DRG 718 (Other Male Reproductive System O.R. Procedures without CC/MCC), under the surgical categories “Urethral Procedures”, “”, “Other Male Reproductive System O.R. Procedures” 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
DUrethra

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

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

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

MDC 12 · Diseases and Disorders of the Male Reproductive System · Other Male Reproductive System O.R. Procedures

MDC 13 · Diseases and Disorders of the Female Reproductive System · Other Female Reproductive System O.R. Procedures

ICD-9-CM equivalent

Converter →
  • 58.99Other operations on urethra and periurethral tissueapproximate

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 0TLD4ZZ

Is 0TLD4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0TLD4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0TLD4ZZ an O.R. procedure?

Yes. 0TLD4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0TLD4ZZ group to?

Depending on the principal diagnosis, 0TLD4ZZ can group to MS-DRG 671, MS-DRG 672, MS-DRG 715, MS-DRG 716, MS-DRG 717 and MS-DRG 718.

What is the ICD-9 procedure code for 0TLD4ZZ?

The CMS GEMs map 0TLD4ZZ to ICD-9-CM 58.99 (Other operations on urethra and periurethral tissue).