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ICD-10-PCS 2027 procedure code

0TPB4KZRemoval of Nonautologous Tissue Substitute from Bladder, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Nonaut Sub 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 0TPB4KZ

0TPB4KZ is the ICD-10-PCS code for a removal procedure on the bladder using a percutaneous endoscopic approach with nonautologous tissue substitute. 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 0TP54KZ (kidney), 0TP94KZ (ureter) and 0TPD4KZ (urethra).

The same procedure with a different approach is coded 0TPB0KZ (open), 0TPB3KZ (percutaneous), 0TPB7KZ (via natural or artificial opening) and 0TPB8KZ (via natural or artificial opening endoscopic).

With a different device, use 0TPB40Z (drainage device), 0TPB42Z (monitoring device), 0TPB43Z (infusion device), 0TPB47Z (autologous tissue substitute), 0TPB4CZ (extraluminal device), 0TPB4DZ (intraluminal device) 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
KNonautologous Tissue Substitute

Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft

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 0TPB4KZ

Is 0TPB4KZ a valid ICD-10-PCS code for 2027?

Yes. 0TPB4KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0TPB4KZ an O.R. procedure?

Yes. 0TPB4KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0TPB4KZ group to?

Depending on the principal diagnosis, 0TPB4KZ 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 0TPB4KZ?

The CMS GEMs map 0TPB4KZ to ICD-9-CM 57.19 (Other cystotomy).