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ICD-10-PCS Body Part - 4
Medical and Surgical, Urinary System, Restriction, 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 Restriction 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:
  V = Restriction

Body Part:

See Terms used in Medical and Surgical

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

0TV4 - 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

    • Extraluminal Device
      • 0TV40CZ - Restrict of L Kidney Pelvis with Extralum Dev, Open Approach
    • Intraluminal Device
      • 0TV40DZ - Restrict of L Kidney Pelvis with Intralum Dev, Open Approach
    • No Device
      • 0TV40ZZ - Restriction of Left Kidney Pelvis, Open Approach

  • Percutaneous Approach

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

    • Extraluminal Device
      • 0TV43CZ - Restrict of L Kidney Pelvis with Extralum Dev, Perc Approach
    • Intraluminal Device
      • 0TV43DZ - Restrict of L Kidney Pelvis with Intralum Dev, Perc Approach
    • No Device
      • 0TV43ZZ - Restriction of Left Kidney Pelvis, Percutaneous 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

    • Extraluminal Device
      • 0TV44CZ - Restrict L Kidney Pelvis w Extralum Dev, Perc Endo
    • Intraluminal Device
      • 0TV44DZ - Restrict L Kidney Pelvis w Intralum Dev, Perc Endo
    • No Device
      • 0TV44ZZ - Restriction of Left Kidney Pelvis, Perc Endo Approach

  • Via Natural or Artificial Opening Approach

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

    • Intraluminal Device
      • 0TV47DZ - Restrict of L Kidney Pelvis with Intralum Dev, Via Opening
    • No Device
      • 0TV47ZZ - Restriction of Left Kidney Pelvis, 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

    • Intraluminal Device
      • 0TV48DZ - Restriction of Left Kidney Pelvis with Intralum Dev, Endo
    • No Device
      • 0TV48ZZ - Restriction of Left Kidney Pelvis, Endo