0TF44ZZFragmentation in Left Kidney Pelvis, Percutaneous Endoscopic Approach
- Billable / Specific Code
0TF44ZZ is a billable ICD-10-PCS procedure code for Fragmentation in Left Kidney Pelvis, Percutaneous Endoscopic Approach. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to 12 MS-DRGs. The root operation Fragmentation involves breaking solid matter in a body part into pieces. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Removal of calculi and other matter from urinary tract.
Code Identity
PCS Table Breakdown
Each ICD-10-PCS code is built from seven characters, each an axis of the procedure. Hover or tap the icons for the official CMS definitions.
| Position | Designation | Value | Meaning |
|---|---|---|---|
| 1 | Section | 0 | Medical and Surgical |
| 2 | Body System | T | Urinary System |
| 3 | Operation | F | Fragmentation |
| 4 | BodyPart | 4 | Kidney Pelvis, Left |
| 5 | Approach | 4 | Percutaneous Endoscopic |
| 6 | Device | Z | No Device |
| 7 | Qualifier | Z | No Qualifier |
In the ICD-10-PCS Alphabetic Index
These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:
To code fragmentation of the left kidney pelvis, open the FY 2027 ICD-10-PCS Alphabetic Index at Fragmentation, then the subterms Kidney Pelvis, Left. The index leads to table 0TF, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 0TF44ZZ.
Clinical Classification (CCSR)
AHRQ groups this procedure code into these clinical categories.
Convert to ICD-9-PCS
Closest ICD-9-PCS equivalents for this code under the General Equivalence Mappings.
Similar Procedure Codes
Questions About 0TF44ZZ
Is 0TF44ZZ a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Fragmentation in Left Kidney Pelvis, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2026 through September 30, 2027.
What do the characters in 0TF44ZZ mean?
The code breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character T is the Body System (Urinary System); the 3rd character F is the Operation (Fragmentation); the 4th character 4 is the BodyPart (Kidney Pelvis, Left); the 5th character 4 is the Approach (Percutaneous Endoscopic); the 6th character Z is the Device (No Device); the 7th character Z is the Qualifier (No Qualifier).
What MS-DRG does 0TF44ZZ group to?
On an inpatient stay, Fragmentation in Left Kidney Pelvis, Percutaneous Endoscopic Approach maps to MS-DRGs 656, 657, 658, 659, 660, 661, 907, 908, 909, 957, 958, 959, with relative weights from 1.0437 to 7.5502. The MS-DRG sets the fixed Medicare payment for the stay.
What is the ICD-9-PCS equivalent of 0TF44ZZ?
Under the General Equivalence Mappings, Fragmentation in Left Kidney Pelvis, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 55.04 (Percutaneous nephrostomy with fragmentation). The mapping is approximate, so confirm it fits the documentation.
