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ICD 10 Code 0TBB4ZZ

Excision of Bladder, Percutaneous Endoscopic Approach

0TBB4ZZ is a valid billable ICD-10 procedure code for Excision of Bladder, Percutaneous Endoscopic Approach. It is found in the 2025 version of the ICD-10 Procedure Coding System (PCS) and can be used in all HIPAA-covered transactions from Oct 01, 2024 - Sep 30, 2025.

Excision involves:
Cutting out or off, without replacement, a portion of a body part. The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies

Percutaneous Endoscopic approach involves:
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

Excision includes:

  • Partial nephrectomy, liver biopsy

Bladder body part includes:

  • Trigone of bladder
MS-DRG - Medicare Severity-Diagnosis Related Group
  • MDC 11 Diseases & Disorders of the Kidney & Urinary Tract
    Major Bladder Procedures
    • DRG 653 - MAJOR BLADDER PROCEDURES WITH MCC
    • DRG 654 - MAJOR BLADDER PROCEDURES WITH CC
    • DRG 655 - MAJOR BLADDER PROCEDURES WITHOUT CC/MCC
  • MDC 12 Diseases & Disorders of the Male Reproductive System
    Major Male Pelvic Procedures
    • DRG 707 - MAJOR MALE PELVIC PROCEDURES WITH CC/MCC
    • DRG 708 - MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC
  • MDC 13 Diseases & Disorders of the Female Reproductive System
    Other Female Reproductive System Procedures
    • DRG 749 - OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC
    • DRG 750 - OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
  • MDC 17 Myeloproliferative Diseases & Disorders, Poorly Differentiated Neoplasms
    Lymphoma and Leukemia with Major Procedure
    • DRG 820 - LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURE WITH MCC
    • DRG 821 - LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURE WITH CC
    • DRG 822 - LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURE WITHOUT CC/MCC
  • MDC 17 Myeloproliferative Diseases & Disorders, Poorly Differentiated Neoplasms
    Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major Procedure
    • DRG 826 - MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURE WITH MCC
    • DRG 827 - MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURE WITH CC
    • DRG 828 - MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURE WITHOUT CC/MCC
  • MDC 21 Injuries, Poisonings & Toxic Effects of Drugs
    Other O.R. Procedures for Injuries
    • DRG 907 - OTHER O.R. PROCEDURES FOR INJURIES WITH MCC
    • DRG 908 - OTHER O.R. PROCEDURES FOR INJURIES WITH CC
    • DRG 909 - OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC
  • MDC 24 Multiple Significant Trauma
    Other Procedures for Multiple Significant Trauma
    • DRG 957 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC
    • DRG 958 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC
    • DRG 959 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC

ICD-10-PCS code structure for 0TBB4ZZ — See Table View

1: Section 0 Medical and Surgical
2: Body System T Urinary System
3: Root Operation B Excision
4: Body Part B Bladder
5: Approach 4 Percutaneous Endoscopic
6: Device Z No Device
7: Qualifier Z No Qualifier

See also

  • The ICD-10-PCS Index of common procedure terms.
  • Medical and Surgical terms in the ICD-10-PCS Definitions table. These definitions may also provide additional explanation and/or examples within this section.
  • The ICD-10-PCS Device Aggregation Table containing entries that correlate a specific ICD-10-PCS device value with a general device value to be used in tables containing only general device values.