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ICD-10-PCS 2027 procedure code

0TUB4KZSupplement Bladder with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Supplement Bladder with Nonaut Sub, Perc Endo 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 0TUB4KZ

0TUB4KZ is the ICD-10-PCS code for a supplement procedure on the bladder using a percutaneous endoscopic approach with nonautologous tissue substitute. In ICD-10-PCS, supplement means putting in or on biological or synthetic material that physically reinforces and/or augments the function of 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 0TU34KZ (right kidney pelvis), 0TU44KZ (left kidney pelvis), 0TU64KZ (right ureter), 0TU74KZ (left ureter), 0TUC4KZ (bladder neck) and 0TUD4KZ (urethra).

The same procedure with a different approach is coded 0TUB0KZ (open), 0TUB7KZ (via natural or artificial opening) and 0TUB8KZ (via natural or artificial opening endoscopic).

With a different device, use 0TUB47Z (autologous tissue substitute) and 0TUB4JZ (synthetic 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
USupplement

Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part

The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced, and the Supplement procedure is performed to physically reinforce and/or augment the function of the replaced body part

Includes: Herniorrhaphy using mesh, mitral valve ring annuloplasty, put a new acetabular liner in a previous hip replacement

4. Body Part
BBladder

Includes: Trigone of bladder

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
KNonautologous Tissue Substitute

Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft

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 0TUB4KZ

Is 0TUB4KZ a valid ICD-10-PCS code for 2027?

Yes. 0TUB4KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0TUB4KZ an O.R. procedure?

Yes. 0TUB4KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0TUB4KZ group to?

Depending on the principal diagnosis, 0TUB4KZ 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 0TUB4KZ?

The CMS GEMs map 0TUB4KZ to ICD-9-CM 57.87 (Reconstruction of urinary bladder).