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ICD-10-PCS 2027 procedure code

0TWD4LZRevision of Artificial Sphincter in Urethra, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Revision of Artif Sphincter in Urethra, 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 0TWD4LZ

0TWD4LZ is the ICD-10-PCS code for a revision procedure on the urethra using a percutaneous endoscopic approach with artificial sphincter. 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 operations on urethra and periurethral tissue, the ICD-9-CM procedure title it maps to (58.99).

For a different body part, codes include 0TWB4LZ (bladder).

The same procedure with a different approach is coded 0TWD0LZ (open), 0TWD3LZ (percutaneous), 0TWD7LZ (via natural or artificial opening), 0TWD8LZ (via natural or artificial opening endoscopic) and 0TWDXLZ (external).

With a different device, use 0TWD40Z (drainage device), 0TWD42Z (monitoring device), 0TWD43Z (infusion device), 0TWD47Z (autologous tissue substitute), 0TWD4CZ (extraluminal device), 0TWD4DZ (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 715 (Male Reproductive System and Other O.R. Procedures for Malignancy with CC/MCC), DRG 716 (Male Reproductive System and Other O.R. Procedures for Malignancy without CC/MCC), DRG 717 (Other Male Reproductive System O.R. Procedures with CC/MCC) and DRG 718 (Other Male Reproductive System O.R. Procedures without CC/MCC), under the surgical categories “Urethral Procedures”, “”, “Other Male Reproductive System O.R. Procedures” 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
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
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
LArtificial Sphincter
7. Qualifier
ZNo Qualifier

Other versions of this procedure

Different body part

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 · Other Male Reproductive System O.R. Procedures

MDC 13 · Diseases and Disorders of the Female Reproductive System · Other Female Reproductive System O.R. Procedures

ICD-9-CM equivalent

Converter →
  • 58.99Other operations on urethra and periurethral tissueapproximate

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 0TWD4LZ

Is 0TWD4LZ a valid ICD-10-PCS code for 2027?

Yes. 0TWD4LZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0TWD4LZ an O.R. procedure?

Yes. 0TWD4LZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0TWD4LZ group to?

Depending on the principal diagnosis, 0TWD4LZ can group to MS-DRG 671, MS-DRG 672, MS-DRG 715, MS-DRG 716, MS-DRG 717 and MS-DRG 718.

What is the ICD-9 procedure code for 0TWD4LZ?

The CMS GEMs map 0TWD4LZ to ICD-9-CM 58.99 (Other operations on urethra and periurethral tissue).