0TRD4KZReplacement of Urethra with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
- Billable / Specific Code
0TRD4KZ is a billable ICD-10-PCS procedure code for Replacement of Urethra with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to 10 MS-DRGs. The root operation Replacement involves putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Urinary system procedures, NEC.
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 | R | Replacement |
| 4 | BodyPart | D | Urethra |
| 5 | Approach | 4 | Percutaneous Endoscopic |
| 6 | Device | K | Nonautologous Tissue Substitute |
| 7 | Qualifier | Z | No Qualifier |
In the ICD-10-PCS Alphabetic Index
These FY 2026 ICD-10-PCS Alphabetic Index entries lead to this code:
To code replacement of the urethra, open the FY 2026 ICD-10-PCS Alphabetic Index at Replacement, then the subterm Urethra. The index leads to table 0TR, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 0TRD4KZ.
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 0TRD4KZ
Is 0TRD4KZ a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Replacement of Urethra with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2025 through September 30, 2026.
What do the characters in 0TRD4KZ 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 R is the Operation (Replacement); the 4th character D is the BodyPart (Urethra); the 5th character 4 is the Approach (Percutaneous Endoscopic); the 6th character K is the Device (Nonautologous Tissue Substitute); the 7th character Z is the Qualifier (No Qualifier).
What MS-DRG does 0TRD4KZ group to?
On an inpatient stay, Replacement of Urethra with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach maps to MS-DRGs 671, 672, 709, 710, 907, 908, 909, 957, 958, 959, with relative weights from 1.0795 to 7.6199. The MS-DRG sets the fixed Medicare payment for the stay.
What is the ICD-9-PCS equivalent of 0TRD4KZ?
Under the General Equivalence Mappings, Replacement of Urethra with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 58.46 (Other reconstruction of urethra). The mapping is approximate, so confirm it fits the documentation.
