5A1D90ZPerformance of Urinary Filtration, Continuous, Greater than 18 hours Per Day
- Billable / Specific Code
5A1D90Z is a billable ICD-10-PCS procedure code for Performance of Urinary Filtration, Continuous, Greater than 18 hours Per Day. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRGs 019, 650, 651. The root operation Performance involves completely taking over a physiological function by extracorporeal means. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Hemodialysis.
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 | 5 | Extracorporeal or Systemic Assistance and Performance |
| 2 | Body System | A | Physiological Systems |
| 3 | Operation | 1 | Performance |
| 4 | BodySystem | D | Urinary |
| 5 | Duration | 9 | Continuous, Greater than 18 hours Per Day |
| 6 | Function | 0 | Filtration |
| 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 dialysis of the hemodialysis, open the FY 2027 ICD-10-PCS Alphabetic Index at Dialysis, then the subterm Hemodialysis. The index leads to table 5A1, where the duration, function and qualifier values shown in the breakdown above complete the seven-character code 5A1D90Z.
Clinical Classification (CCSR)
AHRQ groups this procedure code into these clinical categories.
Code History
- 5A1D901 — Perform Urinary Filtration, >18 hrs/day, Selctv Cytophersis
Similar Procedure Codes
Questions About 5A1D90Z
Is 5A1D90Z a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Performance of Urinary Filtration, Continuous, Greater than 18 hours Per Day on inpatient claims from October 1, 2026 through September 30, 2027.
What do the characters in 5A1D90Z mean?
The code breaks down character by character: the 1st character 5 is the Section (Extracorporeal or Systemic Assistance and Performance); the 2nd character A is the Body System (Physiological Systems); the 3rd character 1 is the Operation (Performance); the 4th character D is the BodySystem (Urinary); the 5th character 9 is the Duration (Continuous, Greater than 18 hours Per Day); the 6th character 0 is the Function (Filtration); the 7th character Z is the Qualifier (No Qualifier).
What MS-DRG does 5A1D90Z group to?
On an inpatient stay, Performance of Urinary Filtration, Continuous, Greater than 18 hours Per Day maps to MS-DRGs 019, 650, 651, with relative weights from 3.7679 to 7.5461. The MS-DRG sets the fixed Medicare payment for the stay.
