Inpatient Procedure Code
0TRD77Z
Replacement of Urethra with Autologous Tissue Substitute, Via Natural or Artificial Opening
Replacement of Urethra with Autol Sub, Via Opening
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 PartD | Urethra |
| 5 | Approach7 | Via Natural or Artificial Opening |
| 6 | Device7 | Autologous Tissue 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 10 MS-DRGs:
- MDC 11 — Urethral Procedures: DRG 671, DRG 672
- MDC 12 — Penis Procedures: DRG 709, DRG 710
- 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 0TRD77Z 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 (10)
- DRG 671 — URETHRAL PROCEDURES WITH CC/MCC [MS-DRG]: “URETHRAL PROCEDURES WITH CC/MCC — Urethral Procedures (MDC 11)”
- DRG 672 — URETHRAL PROCEDURES WITHOUT CC/MCC [MS-DRG]: “URETHRAL PROCEDURES WITHOUT CC/MCC — Urethral Procedures (MDC 11)”
- DRG 709 — PENIS PROCEDURES WITH CC/MCC [MS-DRG]: “PENIS PROCEDURES WITH CC/MCC — Penis Procedures (MDC 12)”
- DRG 710 — PENIS PROCEDURES WITHOUT CC/MCC [MS-DRG]: “PENIS PROCEDURES WITHOUT CC/MCC — Penis Procedures (MDC 12)”
- 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)”
- DRG 909 — OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC [MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC — Other O.R. Procedures for Injuries (MDC 21)”
- DRG 957 — OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC [MS-DRG]: “OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC — Other O.R. Procedures for Multiple Significant Trauma (MDC 24)”
- and 2 more
MDC crossing · diagnoses (16203)
- 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 12 — Diseases and Disorders of the Male Reproductive System [MDC crossing]: “Diseases and Disorders of the Male Reproductive System — 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 16198 more
Nearest codes
- 0TR377Z — Replacement of Right Kidney Pelvis with Autologous Tissue Substitute, Via Natural or Artificial Opening [One axis away]
- 0TR477Z — Replacement of Left Kidney Pelvis with Autologous Tissue Substitute, Via Natural or Artificial Opening [One axis away]
- 0TR677Z — Replacement of Right Ureter with Autologous Tissue Substitute, Via Natural or Artificial Opening [One axis away]
- 0TR777Z — Replacement of Left Ureter with Autologous Tissue Substitute, Via Natural or Artificial Opening [One axis away]
- 0TRB77Z — Replacement of Bladder with Autologous Tissue Substitute, Via Natural or Artificial Opening [One axis away]
- 0TRC77Z — Replacement of Bladder Neck with Autologous Tissue Substitute, Via Natural or Artificial Opening [One axis away]
- 0TRD07Z — Replacement of Urethra with Autologous Tissue Substitute, Open Approach [One axis away]
- 0TRD47Z — Replacement of Urethra with Autologous Tissue 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.