0TV40DZRestriction of Left Kidney Pelvis with Intraluminal Device, Open Approach

  • Billable / Specific Code
ICD-10-PCS 0TV40DZ
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

0TV40DZ is a billable ICD-10-PCS procedure code for Restriction of Left Kidney Pelvis with Intraluminal Device, Open Approach. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to 6 MS-DRGs. The root operation Restriction involves partially closing an orifice or the lumen of a tubular body part.

Code Identity

ICD-10-PCS Code
0TV40DZ
Billable Status
Yes — Valid for Submission
Code Describes
Restriction of Left Kidney Pelvis with Intraluminal Device, Open Approach
Parent Code
Short Description
Restrict of L Kidney Pelvis with Intralum Dev, Open Approac

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.

PositionDesignationValueMeaning
1Section0Medical and Surgical
2Body SystemTUrinary System
3OperationVRestriction
4BodyPart4Kidney Pelvis, Left
5Approach0Open
6DeviceDIntraluminal Device
7QualifierZNo Qualifier

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for 0TV40DZ under the General Equivalence Mappings.

55.89
Approximate match.

Similar Procedure Codes

Questions About 0TV40DZ

Is 0TV40DZ a billable code?

Yes. 0TV40DZ is a complete seven-character ICD-10-PCS code, specific enough to report Restriction of Left Kidney Pelvis with Intraluminal Device, Open Approach on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in 0TV40DZ mean?

0TV40DZ 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 V is the Operation (Restriction); the 4th character 4 is the BodyPart (Kidney Pelvis, Left); the 5th character 0 is the Approach (Open); the 6th character D is the Device (Intraluminal Device); the 7th character Z is the Qualifier (No Qualifier).

What MS-DRG does 0TV40DZ group to?

On an inpatient stay, Restriction of Left Kidney Pelvis with Intraluminal Device, Open Approach maps to MS-DRGs 656, 657, 658, 659, 660, 661, with relative weights from 1.0354 to 3.1838. The MS-DRG sets the fixed Medicare payment for the stay.

What is the ICD-9-PCS equivalent of 0TV40DZ?

Under the General Equivalence Mappings, Restriction of Left Kidney Pelvis with Intraluminal Device, Open Approach crosswalks to ICD-9-PCS 55.89. The mapping is approximate, so confirm it fits the documentation.