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ICD-10-PCS 2027 procedure code

0TTD4ZZResection of Urethra, Percutaneous Endoscopic Approach

✓ Valid for 2027

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 0TTD4ZZ

0TTD4ZZ is the ICD-10-PCS code for a resection procedure on the urethra 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 endoscopic excision or destruction of lesion or tissue of urethra, the ICD-9-CM procedure title it maps to (58.31).

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 0TTD0ZZ (open), 0TTD7ZZ (via natural or artificial opening) and 0TTD8ZZ (via natural or artificial opening endoscopic).

It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.

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
DUrethra

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

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

ICD-9-CM equivalent

Converter →
  • 58.31Endoscopic excision or destruction of lesion or tissue 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 0TTD4ZZ

Is 0TTD4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0TTD4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 0TTD4ZZ?

The CMS GEMs map 0TTD4ZZ to ICD-9-CM 58.31 (Endoscopic excision or destruction of lesion or tissue of urethra).