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ICD 10 Code 0TU407Z

Supplement Left Kidney Pelvis with Autologous Tissue Substitute, Open Approach
“Supplement Left Kidney Pelvis with Autol Sub, Open Approach” for short

0TU407Z is a valid billable ICD-10 procedure code for Supplement Left Kidney Pelvis with Autologous Tissue Substitute, Open 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.

Supplement involves:
Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part. The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced, and the Supplement procedure is performed to physically reinforce and/or augment the function of the replaced body part

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

Supplement includes:

  • Herniorrhaphy using mesh, mitral valve ring annuloplasty, put a new acetabular liner in a previous hip replacement

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 0TU407Z — See Table View

1: Section 0 Medical and Surgical
2: Body System T Urinary System
3: Root Operation U Supplement
4: Body Part 4 Kidney Pelvis, Left
5: Approach 0 Open
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.