0TT20ZZ
Resection of Bilateral Kidneys, Open 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 OperationT | Resection Cutting out or off, without replacement, all of a body part |
| 4 | Body Part2 | Kidneys, Bilateral |
| 5 | Approach0 | Open |
| 6 | DeviceZ | No Device |
| 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 0TT20ZZ 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
- 0TT[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
Nearest codes
- 0TT00ZZ — Resection of Right Kidney, Open Approach [One axis away]
- 0TT10ZZ — Resection of Left Kidney, Open Approach [One axis away]
- 0TT24ZZ — Resection of Bilateral Kidneys, Percutaneous Endoscopic Approach [One axis away]
- 0TT30ZZ — Resection of Right Kidney Pelvis, Open Approach [One axis away]
- 0TT40ZZ — Resection of Left Kidney Pelvis, Open Approach [One axis away]
- 0TT60ZZ — Resection of Right Ureter, Open Approach [One axis away]
- 0TT70ZZ — Resection of Left Ureter, Open Approach [One axis away]
- 0TTB0ZZ — Resection of Bladder, Open Approach [One axis away]
Change history
No changes recorded for this code — unchanged since the FY2026 (April) baseline of the change ledger.