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ICD-10-PCS 2027 procedure code

0TPB40ZRemoval of Drainage Device from Bladder, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Drainage Device from Bladder, 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 0TPB40Z

0TPB40Z is the ICD-10-PCS code for a removal procedure on the bladder using a percutaneous endoscopic approach with drainage device. In ICD-10-PCS, removal means taking out or off a device from a body part.

In plain terms, this corresponds to other cystotomy, the ICD-9-CM procedure title it maps to (57.19).

For a different body part, codes include 0TP540Z (kidney), 0TP940Z (ureter) and 0TPD40Z (urethra).

The same procedure with a different approach is coded 0TPB00Z (open), 0TPB30Z (percutaneous), 0TPB70Z (via natural or artificial opening), 0TPB80Z (via natural or artificial opening endoscopic) and 0TPBX0Z (external).

With a different device, use 0TPB42Z (monitoring device), 0TPB43Z (infusion device), 0TPB47Z (autologous tissue substitute), 0TPB4CZ (extraluminal device), 0TPB4DZ (intraluminal device), 0TPB4JZ (synthetic substitute) and 4 more.

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” and “Other O.R. Procedures for Injuries”.

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
PRemoval

Taking out or off a device from a body part

If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL

Includes: Drainage tube removal, cardiac pacemaker removal

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
0Drainage Device

Includes: Cystostomy tube; Foley catheter; Percutaneous nephrostomy catheter; Thoracostomy tube

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 →
  • 57.19Other cystotomyapproximate

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 0TPB40Z

Is 0TPB40Z a valid ICD-10-PCS code for 2027?

Yes. 0TPB40Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0TPB40Z an O.R. procedure?

Yes. 0TPB40Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0TPB40Z group to?

Depending on the principal diagnosis, 0TPB40Z 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 0TPB40Z?

The CMS GEMs map 0TPB40Z to ICD-9-CM 57.19 (Other cystotomy).