ICD-10-PCS 2027 procedure code
0TTC4ZZResection of Bladder Neck, Percutaneous Endoscopic 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 0TTC4ZZ
0TTC4ZZ is the ICD-10-PCS code for a resection procedure on the bladder neck using a percutaneous endoscopic approach. In ICD-10-PCS, resection means cutting out or off, without replacement, all of a body part.
In plain terms, this corresponds to partial cystectomy, the ICD-9-CM procedure title it maps to (57.6).
For a different body part, codes include 0TT04ZZ (right kidney), 0TT14ZZ (left kidney), 0TT24ZZ (bilateral kidneys), 0TT34ZZ (right kidney pelvis), 0TT44ZZ (left kidney pelvis), 0TT64ZZ (right ureter) and 3 more.
The same procedure with a different approach is coded 0TTC0ZZ (open), 0TTC7ZZ (via natural or artificial opening) and 0TTC8ZZ (via natural or artificial opening endoscopic).
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 707 (Major Male Pelvic Procedures with CC/MCC), DRG 708 (Major Male Pelvic Procedures without CC/MCC) and DRG 749 (Other Female Reproductive System O.R. Procedures with CC/MCC), under the surgical categories “Major Bladder Procedures”, “Major Male Pelvic Procedures”, “Other Female Reproductive System O.R. Procedures” and 4 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
- TResection
Cutting out or off, without replacement, all of a body part
Includes: Total nephrectomy, total lobectomy of lung
- 4. Body Part
- CBladder Neck
- 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
- ZNo Qualifier
Other versions of this procedure
Different body part
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 · Major Bladder Procedures
MDC 12 · Diseases and Disorders of the Male Reproductive System · Major Male Pelvic Procedures
MDC 13 · Diseases and Disorders of the Female Reproductive System · Other Female Reproductive System O.R. Procedures
MDC 17 · Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms · Lymphoma and Leukemia with Major O.R. Procedures
MDC 17 · Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms · Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
- 826Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCCRW 4.7581
- 827Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with CCRW 2.3896
- 828Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures without CC/MCCRW 1.6955
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →- 57.6Partial cystectomyapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 0TTC4ZZ
Is 0TTC4ZZ a valid ICD-10-PCS code for 2027?
- Yes. 0TTC4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0TTC4ZZ an O.R. procedure?
- Yes. 0TTC4ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0TTC4ZZ group to?
- Depending on the principal diagnosis, 0TTC4ZZ can group to MS-DRG 653, MS-DRG 654, MS-DRG 655, MS-DRG 707, MS-DRG 708 and MS-DRG 749.
What is the ICD-9 procedure code for 0TTC4ZZ?
- The CMS GEMs map 0TTC4ZZ to ICD-9-CM 57.6 (Partial cystectomy).