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ICD-10-PCS 2027 procedure code

0TR78JZReplacement of Left Ureter with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic

✓ Valid for 2027O.R. procedure

Short description: Replacement of Left Ureter with Synthetic Substitute, Endo

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 0TR78JZ

0TR78JZ is the ICD-10-PCS code for a replacement procedure on the left ureter using a via natural or artificial opening endoscopic approach with synthetic 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 0TR38JZ (right kidney pelvis), 0TR48JZ (left kidney pelvis), 0TR68JZ (right ureter), 0TRB8JZ (bladder), 0TRC8JZ (bladder neck) and 0TRD8JZ (urethra).

The same procedure with a different approach is coded 0TR70JZ (open), 0TR74JZ (percutaneous endoscopic) and 0TR77JZ (via natural or artificial opening).

With a different device, use 0TR787Z (autologous tissue substitute) and 0TR78KZ (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
7Ureter, Left
5. Approach
8Via Natural or Artificial Opening Endoscopic

Entry of instrumentation through a natural or artificial external opening to reach and visualize the site of the procedure

6. Device
JSynthetic Substitute

Includes: AbioCor(R) Total Replacement Heart; AMPLATZER(R) Muscular VSD Occluder; Annuloplasty ring; Bard(R) Composix(R) (E/X)(LP) mesh; Bard(R) Composix(R) Kugel(R) patch; Bard(R) Dulex(tm) mesh; Bard(R) Ventralex(tm) hernia patch; Barricaid(R) Annular Closure Device (ACD); BRYAN(R) Cervical Disc System; Corvia IASD(R); Ex-PRESS(tm) mini glaucoma shunt; Flexible Composite Mesh; GORE(R) ACUSEAL Vascular Graft; GORE(R) CARDIOFORM Septal Occluder; GORE(R) DUALMESH(R); GORE(R) PROPATEN(R) Vascular Graft; GORE(R) VIATORR(R) TIPS Endoprosthesis; Holter valve ventricular shunt; IASD(R) (InterAtrial Shunt Device), Corvia; InterAtrial Shunt Device IASD(R), Corvia; LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System; MitraClip valve repair system; Nitinol framed polymer mesh; Open Pivot (mechanical) valve; Open Pivot Aortic Valve Graft (AVG); Partially absorbable mesh; PHYSIOMESH(tm) Flexible Composite Mesh; Polymethylmethacrylate (PMMA); Polypropylene mesh; PRESTIGE(R) Cervical Disc; PROCEED(tm) Ventral Patch; Prodisc-C; Prodisc-L; PROLENE Polypropylene Hernia System (PHS); Rebound HRD(R) (Hernia Repair Device); SynCardia Total Artificial Heart; Total artificial (replacement) heart; ULTRAPRO Hernia System (UHS); ULTRAPRO Partially Absorbable Lightweight Mesh; ULTRAPRO Plug; V-Wave Interatrial Shunt System; Ventrio(tm) Hernia Patch; Zimmer(R) NexGen(R) LPS Mobile Bearing Knee; Zimmer(R) NexGen(R) LPS-Flex Mobile Knee

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 0TR78JZ

Is 0TR78JZ a valid ICD-10-PCS code for 2027?

Yes. 0TR78JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0TR78JZ an O.R. procedure?

Yes. 0TR78JZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0TR78JZ group to?

Depending on the principal diagnosis, 0TR78JZ 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 0TR78JZ?

The CMS GEMs map 0TR78JZ to ICD-9-CM 56.89 (Other repair of ureter).