Inpatient Procedure Code
0TR64JZ
Replacement of Right Ureter with Synthetic Substitute, Percutaneous Endoscopic Approach
Replacement of R Ureter with Synth Sub, Perc Endo Approach
Axis Breakdown
Every ICD-10-PCS code is exactly seven characters, one per axis. Each character's meaning is defined by its position in the code.
| Position | Value | Meaning |
|---|---|---|
| 1 | Section0 | Medical and Surgical |
| 2 | Body SystemT | Urinary System |
| 3 | Root OperationR | Replacement 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 |
| 4 | Body Part6 | Ureter, Right |
| 5 | Approach4 | Percutaneous Endoscopic |
| 6 | DeviceJ | Synthetic Substitute |
| 7 | QualifierZ | No Qualifier |
Potential MS-DRG Relationships (FY2026)
The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 12 MS-DRGs:
- MDC 11 — Kidney and Ureter Procedures: DRG 656, DRG 657, DRG 658, DRG 659, DRG 660, DRG 661
- MDC 21 — Other O.R. Procedures for Injuries: DRG 907, DRG 908, DRG 909
- MDC 24 — Other O.R. Procedures for Multiple Significant Trauma: DRG 957, DRG 958, DRG 959
From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.
Contextual Map
Every relationship of 0TR64JZ in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
PCS table
- 0TR[PCS table]
- [object Object] — Section: [object Object] [Section]: “[object Object]”
- [object Object] — Body System: [object Object] [Body System]: “[object Object]”
- [object Object] — Operation: [object Object] [Operation]: “[object Object]”
MS-DRG participation (12)
- DRG 656 — KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC [MS-DRG]: “KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC — Kidney and Ureter Procedures (MDC 11)”
- DRG 657 — KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC [MS-DRG]: “KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC — Kidney and Ureter Procedures (MDC 11)”
- DRG 658 — KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC [MS-DRG]: “KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC — Kidney and Ureter Procedures (MDC 11)”
- DRG 659 — KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC [MS-DRG]: “KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC — Kidney and Ureter Procedures (MDC 11)”
- DRG 660 — KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC [MS-DRG]: “KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC — Kidney and Ureter Procedures (MDC 11)”
- DRG 661 — KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC [MS-DRG]: “KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC — Kidney and Ureter Procedures (MDC 11)”
- DRG 907 — OTHER O.R. PROCEDURES FOR INJURIES WITH MCC [MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH MCC — Other O.R. Procedures for Injuries (MDC 21)”
- DRG 908 — OTHER O.R. PROCEDURES FOR INJURIES WITH CC [MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH CC — Other O.R. Procedures for Injuries (MDC 21)”
- and 4 more
MDC crossing · diagnoses (7115)
- MDC 11 — Diseases and Disorders of the Kidney and Urinary Tract [MDC crossing]: “Diseases and Disorders of the Kidney and Urinary Tract — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
- MDC 21 — Injuries, Poisonings and Toxic Effects of Drugs [MDC crossing]: “Injuries, Poisonings and Toxic Effects of Drugs — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
- A18.10 — Tuberculosis of genitourinary system, unspecified [Same-MDC diagnosis]: “Tuberculosis of genitourinary system, unspecified — grouped in MDC 11, the diagnosis side of this code's crossing.” · check together
- A18.11 — Tuberculosis of kidney and ureter [Same-MDC diagnosis]: “Tuberculosis of kidney and ureter — grouped in MDC 11, the diagnosis side of this code's crossing.” · check together
- A18.12 — Tuberculosis of bladder [Same-MDC diagnosis]: “Tuberculosis of bladder — grouped in MDC 11, the diagnosis side of this code's crossing.” · check together
- A18.13 — Tuberculosis of other urinary organs [Same-MDC diagnosis]: “Tuberculosis of other urinary organs — grouped in MDC 11, the diagnosis side of this code's crossing.” · check together
- A36.85 — Diphtheritic cystitis [Same-MDC diagnosis]: “Diphtheritic cystitis — grouped in MDC 11, the diagnosis side of this code's crossing.” · check together
- and 7110 more
Nearest codes
- 0TR34JZ — Replacement of Right Kidney Pelvis with Synthetic Substitute, Percutaneous Endoscopic Approach [One axis away]
- 0TR44JZ — Replacement of Left Kidney Pelvis with Synthetic Substitute, Percutaneous Endoscopic Approach [One axis away]
- 0TR60JZ — Replacement of Right Ureter with Synthetic Substitute, Open Approach [One axis away]
- 0TR647Z — Replacement of Right Ureter with Autologous Tissue Substitute, Percutaneous Endoscopic Approach [One axis away]
- 0TR64KZ — Replacement of Right Ureter with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach [One axis away]
- 0TR67JZ — Replacement of Right Ureter with Synthetic Substitute, Via Natural or Artificial Opening [One axis away]
- 0TR68JZ — Replacement of Right Ureter with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic [One axis away]
- 0TR74JZ — Replacement of Left Ureter with Synthetic Substitute, Percutaneous Endoscopic Approach [One axis away]
Change history
No changes recorded for this code — unchanged since the FY2026 (April) baseline of the change ledger.