Skip to content
Dx

ICD-10-PCS 2027 procedure code

0TWB4JZRevision of Synthetic Substitute in Bladder, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Revision of Synth Sub in Bladder, 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 0TWB4JZ

0TWB4JZ is the ICD-10-PCS code for a revision procedure on the bladder using a percutaneous endoscopic approach with synthetic substitute. 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 other cystotomy, the ICD-9-CM procedure title it maps to (57.19).

For a different body part, codes include 0TW54JZ (kidney), 0TW94JZ (ureter) and 0TWD4JZ (urethra).

The same procedure with a different approach is coded 0TWB0JZ (open), 0TWB3JZ (percutaneous), 0TWB7JZ (via natural or artificial opening), 0TWB8JZ (via natural or artificial opening endoscopic) and 0TWBXJZ (external).

With a different device, use 0TWB40Z (drainage device), 0TWB42Z (monitoring device), 0TWB43Z (infusion device), 0TWB47Z (autologous tissue substitute), 0TWB4CZ (extraluminal device), 0TWB4DZ (intraluminal device) and 4 more.

It is an operating-room procedure in the MS-DRG logic for DRG 662 (Minor Bladder Procedures with MCC), DRG 663 (Minor Bladder Procedures with CC), DRG 664 (Minor 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 “Minor Bladder Procedures” and “Other O.R. Procedures for Injuries”.

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
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
JSynthetic Substitute

Includes: AbioCor(R) Total Replacement Heart; AMPLATZER(R) Muscular VSD Occluder; Annuloplasty ring; Bard(R) Composix(R) (E/X)(LP) mesh; Bard(R) Composix(R) Kugel(R) patch; Bard(R) Dulex(tm) mesh; Bard(R) Ventralex(tm) hernia patch; Barricaid(R) Annular Closure Device (ACD); BRYAN(R) Cervical Disc System; Corvia IASD(R); Ex-PRESS(tm) mini glaucoma shunt; Flexible Composite Mesh; GORE(R) ACUSEAL Vascular Graft; GORE(R) CARDIOFORM Septal Occluder; GORE(R) DUALMESH(R); GORE(R) PROPATEN(R) Vascular Graft; GORE(R) VIATORR(R) TIPS Endoprosthesis; Holter valve ventricular shunt; IASD(R) (InterAtrial Shunt Device), Corvia; InterAtrial Shunt Device IASD(R), Corvia; LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System; MitraClip valve repair system; Nitinol framed polymer mesh; Open Pivot (mechanical) valve; Open Pivot Aortic Valve Graft (AVG); Partially absorbable mesh; PHYSIOMESH(tm) Flexible Composite Mesh; Polymethylmethacrylate (PMMA); Polypropylene mesh; PRESTIGE(R) Cervical Disc; PROCEED(tm) Ventral Patch; Prodisc-C; Prodisc-L; PROLENE Polypropylene Hernia System (PHS); Rebound HRD(R) (Hernia Repair Device); SynCardia Total Artificial Heart; Total artificial (replacement) heart; ULTRAPRO Hernia System (UHS); ULTRAPRO Partially Absorbable Lightweight Mesh; ULTRAPRO Plug; V-Wave Interatrial Shunt System; Ventrio(tm) Hernia Patch; Zimmer(R) NexGen(R) LPS Mobile Bearing Knee; Zimmer(R) NexGen(R) LPS-Flex Mobile Knee

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 →
  • 57.19Other cystotomyapproximate

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 0TWB4JZ

Is 0TWB4JZ a valid ICD-10-PCS code for 2027?

Yes. 0TWB4JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0TWB4JZ an O.R. procedure?

Yes. 0TWB4JZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0TWB4JZ group to?

Depending on the principal diagnosis, 0TWB4JZ can group to MS-DRG 662, MS-DRG 663, MS-DRG 664, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0TWB4JZ?

The CMS GEMs map 0TWB4JZ to ICD-9-CM 57.19 (Other cystotomy).