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ICD 10 Code 0TR477Z

Replacement of Left Kidney Pelvis with Autologous Tissue Substitute, Via Natural or Artificial Opening
“Replacement of L Kidney Pelvis with Autol Sub, Via Opening” for short

0TR477Z is a valid billable ICD-10 procedure code for Replacement of Left Kidney Pelvis with Autologous Tissue Substitute, Via Natural or Artificial Opening. 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.

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. The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during the Replacement procedure. A Removal procedure is coded for taking out the device used in a previous replacement procedure

Via Natural or Artificial Opening approach involves:
Entry of instrumentation through a natural or artificial external opening to reach the site of the procedure

Replacement includes:

  • Total hip replacement, bone graft, free skin graft

Kidney Pelvis, Left body part includes:

  • Ureteropelvic junction (UPJ)

Autologous Tissue Substitute device includes:

  • Autograft
  • Cultured epidermal cell autograft
  • Epicel(R) cultured epidermal autograft
MS-DRG - Medicare Severity-Diagnosis Related Group
  • MDC 11 Diseases & Disorders of the Kidney & Urinary Tract
    Kidney and Ureter Procedures
    • DRG 656 - KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC
    • DRG 657 - KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC
    • DRG 658 - KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC
    • DRG 659 - KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC
    • DRG 660 - KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC
    • DRG 661 - KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC

ICD-10-PCS code structure for 0TR477Z — See Table View

1: Section 0 Medical and Surgical
2: Body System T Urinary System
3: Root Operation R Replacement
4: Body Part 4 Kidney Pelvis, Left
5: Approach 7 Via Natural or Artificial Opening
6: Device 7 Autologous Tissue Substitute
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.