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ICD-10-PCS 2027 procedure code

0TPD42ZRemoval of Monitoring Device from Urethra, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Monitor Dev from Urethra, 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 0TPD42Z

0TPD42Z is the ICD-10-PCS code for a removal procedure on the urethra using a percutaneous endoscopic approach with monitoring device. In ICD-10-PCS, removal means taking out or off a device from a body part.

In plain terms, this corresponds to Urethrotomy, the ICD-9-CM procedure title it maps to (58.0).

For a different body part, codes include 0TP542Z (kidney), 0TP942Z (ureter) and 0TPB42Z (bladder).

The same procedure with a different approach is coded 0TPD02Z (open), 0TPD32Z (percutaneous), 0TPD72Z (via natural or artificial opening), 0TPD82Z (via natural or artificial opening endoscopic) and 0TPDX2Z (external).

With a different device, use 0TPD40Z (drainage device), 0TPD43Z (infusion device), 0TPD47Z (autologous tissue substitute), 0TPD4CZ (extraluminal device), 0TPD4DZ (intraluminal device), 0TPD4JZ (synthetic substitute) and 3 more.

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 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 “Urethral 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
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
2Monitoring Device

Includes: Blood glucose monitoring system; Cardiac event recorder; Continuous Glucose Monitoring (CGM) device; Implantable glucose monitoring device; Loop recorder, implantable; Reveal (LINQ)(DX)(XT)

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

ICD-9-CM equivalent

Converter →
  • 58.0Urethrotomyapproximate

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 0TPD42Z

Is 0TPD42Z a valid ICD-10-PCS code for 2027?

Yes. 0TPD42Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0TPD42Z an O.R. procedure?

Yes. 0TPD42Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0TPD42Z group to?

Depending on the principal diagnosis, 0TPD42Z can group to MS-DRG 671, MS-DRG 672, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0TPD42Z?

The CMS GEMs map 0TPD42Z to ICD-9-CM 58.0 (Urethrotomy).