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ICD-10-PCS 2027 procedure code

0TWD0YZRevision of Other Device in Urethra, Open Approach

✓ Valid for 2027O.R. procedure

Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0TWD0YZ

0TWD0YZ is the ICD-10-PCS code for a revision procedure on the urethra using an open approach with other 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 Urethrotomy, the ICD-9-CM procedure title it maps to (58.0).

For a different body part, codes include 0TW50YZ (kidney), 0TW90YZ (ureter) and 0TWB0YZ (bladder).

The same procedure with a different approach is coded 0TWD3YZ (percutaneous), 0TWD4YZ (percutaneous endoscopic), 0TWD7YZ (via natural or artificial opening) and 0TWD8YZ (via natural or artificial opening endoscopic).

With a different device, use 0TWD00Z (drainage device), 0TWD02Z (monitoring device), 0TWD03Z (infusion device), 0TWD07Z (autologous tissue substitute), 0TWD0CZ (extraluminal device), 0TWD0DZ (intraluminal device) and 3 more.

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 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 “Urethral Procedures” and “Other O.R. Procedures for Injuries”.

It was added in FY2018, effective October 1, 2017.

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
DUrethra

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

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
YOther Device

Includes: Alfapump(R) system

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

ICD-9-CM equivalent

Converter →
  • 58.0Urethrotomyapproximate

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
  • FY2018 (effective 10/1/2017): Added
  • No changes since FY2018.

Common questions about 0TWD0YZ

Is 0TWD0YZ a valid ICD-10-PCS code for 2027?

Yes. 0TWD0YZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0TWD0YZ an O.R. procedure?

Yes. 0TWD0YZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0TWD0YZ group to?

Depending on the principal diagnosis, 0TWD0YZ can group to MS-DRG 671, MS-DRG 672, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0TWD0YZ?

The CMS GEMs map 0TWD0YZ to ICD-9-CM 58.0 (Urethrotomy).