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ICD-10-PCS 2027 procedure code

0TWDXKZRevision of Nonautologous Tissue Substitute in Urethra, External Approach

✓ Valid for 2027

Short description: Revision of Nonaut Sub in Urethra, Extern 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 0TWDXKZ

0TWDXKZ is the ICD-10-PCS code for a revision procedure on the urethra using an external approach with nonautologous tissue 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 miscellaneous procedures, the ICD-9-CM procedure title it maps to (99.99).

For a different body part, codes include 0TW5XKZ (kidney), 0TW9XKZ (ureter) and 0TWBXKZ (bladder).

The same procedure with a different approach is coded 0TWD0KZ (open), 0TWD3KZ (percutaneous), 0TWD4KZ (percutaneous endoscopic), 0TWD7KZ (via natural or artificial opening) and 0TWD8KZ (via natural or artificial opening endoscopic).

With a different device, use 0TWDX0Z (drainage device), 0TWDX2Z (monitoring device), 0TWDX3Z (infusion device), 0TWDX7Z (autologous tissue substitute), 0TWDXCZ (extraluminal device), 0TWDXDZ (intraluminal device) and 2 more.

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

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
XExternal

Procedures performed directly on the skin or mucous membrane and procedures performed indirectly by the application of external force through the skin or mucous membrane

6. Device
KNonautologous Tissue Substitute

Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft

7. Qualifier
ZNo Qualifier

Other versions of this procedure

ICD-9-CM equivalent

Converter →
  • 99.99Other miscellaneous proceduresapproximate

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 0TWDXKZ

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

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

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

The CMS GEMs map 0TWDXKZ to ICD-9-CM 99.99 (Other miscellaneous procedures).