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ICD-10-PCS 2027 procedure code

0TR647ZReplacement of Right Ureter with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Replacement of R Ureter with Autol Sub, 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 0TR647Z

0TR647Z is the ICD-10-PCS code for a replacement procedure on the right ureter using a percutaneous endoscopic approach with autologous tissue substitute. In ICD-10-PCS, replacement means putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part.

In plain terms, this corresponds to other repair of ureter, the ICD-9-CM procedure title it maps to (56.89).

For a different body part, codes include 0TR347Z (right kidney pelvis), 0TR447Z (left kidney pelvis), 0TR747Z (left ureter), 0TRB47Z (bladder), 0TRC47Z (bladder neck) and 0TRD47Z (urethra).

The same procedure with a different approach is coded 0TR607Z (open), 0TR677Z (via natural or artificial opening) and 0TR687Z (via natural or artificial opening endoscopic).

With a different device, use 0TR64JZ (synthetic substitute) and 0TR64KZ (nonautologous tissue substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 656 (Kidney and Ureter Procedures for Neoplasm with MCC), DRG 657 (Kidney and Ureter Procedures for Neoplasm with CC), DRG 658 (Kidney and Ureter Procedures for Neoplasm without CC/MCC), DRG 659 (Kidney and Ureter Procedures for Non-Neoplasm with MCC), DRG 660 (Kidney and Ureter Procedures for Non-Neoplasm with CC) and DRG 661 (Kidney and Ureter Procedures for Non-Neoplasm without CC/MCC), under the surgical categories “”, “Kidney and Ureter Procedures for Non-Neoplasm”, “Other O.R. Procedures for Injuries” 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
RReplacement

Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part

The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during the Replacement procedure. A Removal procedure is coded for taking out the device used in a previous replacement procedure

Includes: Total hip replacement, bone graft, free skin graft

4. Body Part
6Ureter, Right
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
7Autologous Tissue Substitute

Includes: Autograft; Cultured epidermal cell autograft; Epicel(R) cultured epidermal autograft

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 →
  • 56.89Other repair of ureterapproximate

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 0TR647Z

Is 0TR647Z a valid ICD-10-PCS code for 2027?

Yes. 0TR647Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0TR647Z an O.R. procedure?

Yes. 0TR647Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0TR647Z group to?

Depending on the principal diagnosis, 0TR647Z can group to MS-DRG 656, MS-DRG 657, MS-DRG 658, MS-DRG 659, MS-DRG 660 and MS-DRG 661.

What is the ICD-9 procedure code for 0TR647Z?

The CMS GEMs map 0TR647Z to ICD-9-CM 56.89 (Other repair of ureter).