Skip to content
Dx

ICD-10-PCS 2027 procedure code

0TWD4YZRevision of Other Device in Urethra, Percutaneous Endoscopic Approach

✓ Valid for 2027

Short description: Revision of Other Device in Urethra, Perc Endo Approach

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 0TWD4YZ

0TWD4YZ is the ICD-10-PCS code for a revision procedure on the urethra using a percutaneous endoscopic 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 0TW54YZ (kidney), 0TW94YZ (ureter) and 0TWB4YZ (bladder).

The same procedure with a different approach is coded 0TWD0YZ (open), 0TWD3YZ (percutaneous), 0TWD7YZ (via natural or artificial opening) and 0TWD8YZ (via natural or artificial opening endoscopic).

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 doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.

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
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
YOther Device

Includes: Alfapump(R) system

7. Qualifier
ZNo Qualifier

Other versions of this procedure

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 0TWD4YZ

Is 0TWD4YZ a valid ICD-10-PCS code for 2027?

Yes. 0TWD4YZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 0TWD4YZ?

The CMS GEMs map 0TWD4YZ to ICD-9-CM 58.0 (Urethrotomy).