ICD-10-PCS 2027 procedure code
0TW90CZRevision of Extraluminal Device in Ureter, Open 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 0TW90CZ
0TW90CZ is the ICD-10-PCS code for a revision procedure on the ureter using an open approach with extraluminal device. In ICD-10-PCS, revision means correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device.
In plain terms, this corresponds to Ureterotomy, the ICD-9-CM procedure title it maps to (56.2).
For a different body part, codes include 0TW50CZ (kidney), 0TWB0CZ (bladder) and 0TWD0CZ (urethra).
The same procedure with a different approach is coded 0TW93CZ (percutaneous), 0TW94CZ (percutaneous endoscopic), 0TW97CZ (via natural or artificial opening), 0TW98CZ (via natural or artificial opening endoscopic) and 0TW9XCZ (external).
With a different device, use 0TW900Z (drainage device), 0TW902Z (monitoring device), 0TW903Z (infusion device), 0TW907Z (autologous tissue substitute), 0TW90DZ (intraluminal device), 0TW90JZ (synthetic substitute) and 3 more.
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 “” and “Kidney and Ureter Procedures for Non-Neoplasm”.
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
- WRevision
Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device
Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as a screw or pin
Includes: Adjustment of position of pacemaker lead, recementing of hip prosthesis
- 4. Body Part
- 9Ureter
Includes: Ureteral orifice; Ureterovesical orifice
- 5. Approach
- 0Open
Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure
- 6. Device
- CExtraluminal Device
Includes: AtriClip LAA Exclusion System; LAP-BAND(R) adjustable gastric banding system; REALIZE(R) Adjustable Gastric Band
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
Different approach
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
MDC 11 · Diseases and Disorders of the Kidney and Urinary Tract · Kidney and Ureter Procedures for Non-Neoplasm
ICD-9-CM equivalent
Converter →- 56.2Ureterotomyapproximate
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 0TW90CZ
Is 0TW90CZ a valid ICD-10-PCS code for 2027?
- Yes. 0TW90CZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0TW90CZ an O.R. procedure?
- Yes. 0TW90CZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0TW90CZ group to?
- Depending on the principal diagnosis, 0TW90CZ can group to MS-DRG 656, MS-DRG 657, MS-DRG 658, MS-DRG 659, MS-DRG 660 and MS-DRG 661.
What is the ICD-9 procedure code for 0TW90CZ?
- The CMS GEMs map 0TW90CZ to ICD-9-CM 56.2 (Ureterotomy).