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ICD-10-PCS 2027 procedure code

0TRB77ZReplacement of Bladder with Autologous Tissue Substitute, Via Natural or Artificial Opening

✓ Valid for 2027O.R. procedure

Short description: Replacement of Bladder with Autol Sub, Via Opening

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 0TRB77Z

0TRB77Z is the ICD-10-PCS code for a replacement procedure on the bladder using a via natural or artificial opening 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 reconstruction of urinary bladder, the ICD-9-CM procedure title it maps to (57.87).

For a different body part, codes include 0TR377Z (right kidney pelvis), 0TR477Z (left kidney pelvis), 0TR677Z (right ureter), 0TR777Z (left ureter), 0TRC77Z (bladder neck) and 0TRD77Z (urethra).

The same procedure with a different approach is coded 0TRB07Z (open), 0TRB47Z (percutaneous endoscopic) and 0TRB87Z (via natural or artificial opening endoscopic).

With a different device, use 0TRB7JZ (synthetic substitute) and 0TRB7KZ (nonautologous tissue substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 653 (Major Bladder Procedures with MCC), DRG 654 (Major Bladder Procedures with CC), DRG 655 (Major 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 “Major Bladder Procedures”, “Other O.R. Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.

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
BBladder

Includes: Trigone of bladder

5. Approach
7Via Natural or Artificial Opening

Entry of instrumentation through a natural or artificial external opening to reach 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 →
  • 57.87Reconstruction of urinary bladderapproximate

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 0TRB77Z

Is 0TRB77Z a valid ICD-10-PCS code for 2027?

Yes. 0TRB77Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0TRB77Z an O.R. procedure?

Yes. 0TRB77Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0TRB77Z group to?

Depending on the principal diagnosis, 0TRB77Z can group to MS-DRG 653, MS-DRG 654, MS-DRG 655, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0TRB77Z?

The CMS GEMs map 0TRB77Z to ICD-9-CM 57.87 (Reconstruction of urinary bladder).