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ICD-10-PCS 2027 procedure code

0TRD77ZReplacement of Urethra with Autologous Tissue Substitute, Via Natural or Artificial Opening

✓ Valid for 2027O.R. procedure

Short description: Replacement of Urethra 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 0TRD77Z

0TRD77Z is the ICD-10-PCS code for a replacement procedure on the urethra 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 other reconstruction of urethra, the ICD-9-CM procedure title it maps to (58.46).

For a different body part, codes include 0TR377Z (right kidney pelvis), 0TR477Z (left kidney pelvis), 0TR677Z (right ureter), 0TR777Z (left ureter), 0TRB77Z (bladder) and 0TRC77Z (bladder neck).

The same procedure with a different approach is coded 0TRD07Z (open), 0TRD47Z (percutaneous endoscopic), 0TRD87Z (via natural or artificial opening endoscopic) and 0TRDX7Z (external).

With a different device, use 0TRD7JZ (synthetic substitute) and 0TRD7KZ (nonautologous tissue substitute).

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 709 (Penis Procedures with CC/MCC), DRG 710 (Penis Procedures without CC/MCC), DRG 907 (Other O.R. Procedures for Injuries with MCC) and DRG 908 (Other O.R. Procedures for Injuries with CC), under the surgical categories “Urethral Procedures”, “Penis Procedures”, “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
DUrethra

Includes: Bulbourethral (Cowper's) gland; Cowper's (bulbourethral) gland; External urethral sphincter; Internal urethral sphincter; Membranous urethra; Penile urethra; Prostatic urethra

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.

MDC 11 · Diseases and Disorders of the Kidney and Urinary Tract · Urethral Procedures

MDC 12 · Diseases and Disorders of the Male Reproductive System · Penis Procedures

ICD-9-CM equivalent

Converter →
  • 58.46Other reconstruction of urethraapproximate

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 0TRD77Z

Is 0TRD77Z a valid ICD-10-PCS code for 2027?

Yes. 0TRD77Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0TRD77Z an O.R. procedure?

Yes. 0TRD77Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0TRD77Z group to?

Depending on the principal diagnosis, 0TRD77Z can group to MS-DRG 671, MS-DRG 672, MS-DRG 709, MS-DRG 710, MS-DRG 907 and MS-DRG 908.

What is the ICD-9 procedure code for 0TRD77Z?

The CMS GEMs map 0TRD77Z to ICD-9-CM 58.46 (Other reconstruction of urethra).