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ICD-10-PCS 2027 procedure code

0TT04ZGResection of Right Kidney, Percutaneous Endoscopic Approach, Hand-Assisted

✓ Valid for 2027O.R. procedure

Short description: Resection of Right Kidney, Perc Endo Approach, Hnd-Asist

Code last changed in FY2024 (effective October 1, 2023). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0TT04ZG

0TT04ZG is the ICD-10-PCS code for a resection procedure on the right kidney using a percutaneous endoscopic approach (qualifier: hand-assisted). In ICD-10-PCS, resection means cutting out or off, without replacement, all of a body part.

For a different body part, codes include 0TT14ZG (left kidney) and 0TT24ZG (bilateral kidneys).

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 was added in FY2024, effective October 1, 2023.

What each character means

1. Section
0Medical and Surgical
2. Body System
TUrinary System
3. Operation
TResection

Cutting out or off, without replacement, all of a body part

Includes: Total nephrectomy, total lobectomy of lung

4. Body Part
0Kidney, 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
ZNo Device
7. Qualifier
GHand-Assisted

Other versions of this procedure

Different qualifier

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

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
  • FY2024 (effective 10/1/2023): Added
  • No changes since FY2024.

Common questions about 0TT04ZG

Is 0TT04ZG a valid ICD-10-PCS code for 2027?

Yes. 0TT04ZG is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0TT04ZG an O.R. procedure?

Yes. 0TT04ZG is an O.R. procedure in MS-DRG v44.0.

What DRG does 0TT04ZG group to?

Depending on the principal diagnosis, 0TT04ZG can group to MS-DRG 656, MS-DRG 657, MS-DRG 658, MS-DRG 659, MS-DRG 660 and MS-DRG 661.