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ICD-10-PCS Body Part - 4
Medical and Surgical, Urinary System, Replacement, Kidney Pelvis, Left

The Kidney Pelvis, Left body part is identified by the character 4 in the 4th position of the ICD-10-PCS procedure code. It is contained within the Replacement root operation of the Urinary System body system under the Medical and Surgical section. The 4the position refers to the body part or body region when applicable.

Includes:

  • Ureteropelvic junction (UPJ)
ICD-10-PCS code structure

Section:
  0 = Medical and Surgical

Body System:
  T = Urinary System

Root Operation:
  R = Replacement

Body Part:

See Terms used in Medical and Surgical

Select the appropriate procedure code based on the approach & device:

0TR4 - Kidney Pelvis, Left

  • Open Approach

    Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

    • Autologous Tissue Substitute
      • 0TR407Z - Replacement of L Kidney Pelvis with Autol Sub, Open Approach
    • Synthetic Substitute
      • 0TR40JZ - Replacement of L Kidney Pelvis with Synth Sub, Open Approach
    • Nonautologous Tissue Substitute
      • 0TR40KZ - Replace of L Kidney Pelvis with Nonaut Sub, Open Approach

  • Percutaneous Endoscopic Approach

    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

    • Autologous Tissue Substitute
      • 0TR447Z - Replace L Kidney Pelvis w Autol Sub, Perc Endo
    • Synthetic Substitute
      • 0TR44JZ - Replace L Kidney Pelvis w Synth Sub, Perc Endo
    • Nonautologous Tissue Substitute
      • 0TR44KZ - Replace L Kidney Pelvis w Nonaut Sub, Perc Endo

  • Via Natural or Artificial Opening Approach

    Entry of instrumentation through a natural or artificial external opening to reach the site of the procedure

    • Autologous Tissue Substitute
      • 0TR477Z - Replacement of L Kidney Pelvis with Autol Sub, Via Opening
    • Synthetic Substitute
      • 0TR47JZ - Replacement of L Kidney Pelvis with Synth Sub, Via Opening
    • Nonautologous Tissue Substitute
      • 0TR47KZ - Replacement of L Kidney Pelvis with Nonaut Sub, Via Opening

  • Via Natural or Artificial Opening Endoscopic Approach

    Entry of instrumentation through a natural or artificial external opening to reach and visualize the site of the procedure

    • Autologous Tissue Substitute
      • 0TR487Z - Replacement of Left Kidney Pelvis with Autol Sub, Endo
    • Synthetic Substitute
      • 0TR48JZ - Replacement of Left Kidney Pelvis with Synth Sub, Endo
    • Nonautologous Tissue Substitute
      • 0TR48KZ - Replacement of Left Kidney Pelvis with Nonaut Sub, Endo