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ICD-10-PCS 2027 procedure code

0TMD4ZZReattachment 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 0TMD4ZZ

0TMD4ZZ is the ICD-10-PCS code for a reattachment procedure on the urethra using a percutaneous endoscopic approach. In ICD-10-PCS, reattachment means putting back in or on all or a portion of a separated body part to its normal location or other suitable location.

In plain terms, this corresponds to other repair of urethra, the ICD-9-CM procedure title it maps to (58.49).

For a different body part, codes include 0TM04ZZ (right kidney), 0TM14ZZ (left kidney), 0TM24ZZ (bilateral kidneys), 0TM34ZZ (right kidney pelvis), 0TM44ZZ (left kidney pelvis), 0TM64ZZ (right ureter) and 4 more.

The same procedure with a different approach is coded 0TMD0ZZ (open).

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 709 (Penis Procedures with CC/MCC), DRG 710 (Penis Procedures without CC/MCC), DRG 749 (Other Female Reproductive System O.R. Procedures with CC/MCC) and DRG 750 (Other Female Reproductive System O.R. Procedures without CC/MCC), under the surgical categories “Urethral Procedures”, “Penis Procedures”, “Other Female Reproductive System O.R. Procedures” and 2 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
MReattachment

Putting back in or on all or a portion of a separated body part to its normal location or other suitable location

Vascular circulation and nervous pathways may or may not be reestablished

Includes: Reattachment of hand, reattachment of avulsed kidney

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

Different approach

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 · Penis Procedures

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

ICD-9-CM equivalent

Converter →
  • 58.49Other repair of urethraapproximate

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 0TMD4ZZ

Is 0TMD4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0TMD4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0TMD4ZZ an O.R. procedure?

Yes. 0TMD4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0TMD4ZZ group to?

Depending on the principal diagnosis, 0TMD4ZZ can group to MS-DRG 671, MS-DRG 672, MS-DRG 709, MS-DRG 710, MS-DRG 749 and MS-DRG 750.

What is the ICD-9 procedure code for 0TMD4ZZ?

The CMS GEMs map 0TMD4ZZ to ICD-9-CM 58.49 (Other repair of urethra).