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ICD-10-PCS/0TU/0TU777Z
Inpatient Procedure Code

0TU777Z

Supplement Left Ureter with Autologous Tissue Substitute, Via Natural or Artificial Opening

Supplement Left Ureter 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.

PositionValueMeaning
1
Section0

Medical and Surgical

2
Body SystemT

Urinary System

3
Root OperationU

Supplement

Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part

4
Body Part7

Ureter, Left

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 12 MS-DRGs:

From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.

Contextual Map

Every relationship of 0TU777Z 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

  • 0TU[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

  • 0TU377Z — Supplement Right Kidney Pelvis with Autologous Tissue Substitute, Via Natural or Artificial Opening [One axis away]
  • 0TU477Z — Supplement Left Kidney Pelvis with Autologous Tissue Substitute, Via Natural or Artificial Opening [One axis away]
  • 0TU677Z — Supplement Right Ureter with Autologous Tissue Substitute, Via Natural or Artificial Opening [One axis away]
  • 0TU707Z — Supplement Left Ureter with Autologous Tissue Substitute, Open Approach [One axis away]
  • 0TU747Z — Supplement Left Ureter with Autologous Tissue Substitute, Percutaneous Endoscopic Approach [One axis away]
  • 0TU77JZ — Supplement Left Ureter with Synthetic Substitute, Via Natural or Artificial Opening [One axis away]
  • 0TU77KZ — Supplement Left Ureter with Nonautologous Tissue Substitute, Via Natural or Artificial Opening [One axis away]
  • 0TU787Z — Supplement Left Ureter with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic [One axis away]

Change history

No changes recorded for this code — unchanged since the FY2026 (April) baseline of the change ledger.