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ICD-10-PCS 2027 procedure code

0TUD4KZSupplement Urethra with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Supplement Urethra 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 0TUD4KZ

0TUD4KZ is the ICD-10-PCS code for a supplement procedure on the urethra 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 other reconstruction of urethra, the ICD-9-CM procedure title it maps to (58.46).

For a different body part, codes include 0TU34KZ (right kidney pelvis), 0TU44KZ (left kidney pelvis), 0TU64KZ (right ureter), 0TU74KZ (left ureter), 0TUB4KZ (bladder) and 0TUC4KZ (bladder neck).

The same procedure with a different approach is coded 0TUD0KZ (open), 0TUD7KZ (via natural or artificial opening), 0TUD8KZ (via natural or artificial opening endoscopic) and 0TUDXKZ (external).

With a different device, use 0TUD47Z (autologous tissue substitute) and 0TUD4JZ (synthetic 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
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
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
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.

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 0TUD4KZ

Is 0TUD4KZ a valid ICD-10-PCS code for 2027?

Yes. 0TUD4KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0TUD4KZ an O.R. procedure?

Yes. 0TUD4KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0TUD4KZ group to?

Depending on the principal diagnosis, 0TUD4KZ 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 0TUD4KZ?

The CMS GEMs map 0TUD4KZ to ICD-9-CM 58.46 (Other reconstruction of urethra).