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Inpatient Procedure Code

0TV40ZZ ICD-10-PCS Code: Restriction of Left Kidney Pelvis, Open Approach

Check this code on a claim

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 OperationV

Restriction

Partially closing an orifice or the lumen of a tubular body part

4
Body Part4

Kidney Pelvis, Left

5
Approach0

Open

6
DeviceZ

No Device

7
QualifierZ

No Qualifier

MS-DRG Grouper Relationships (FY2027)

Potential MS-DRG participation — not a DRG assignment.

The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 6 MS-DRGs:

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

Related Codes

Same operation — other Body Part

Same table and root operation, differing only in the body part character.

0TV30ZZ — Restriction of Right Kidney Pelvis, Open Approach, 0TV60ZZ — Restriction of Right Ureter, Open Approach, 0TV70ZZ — Restriction of Left Ureter, Open Approach, 0TVB0ZZ — Restriction of Bladder, Open Approach, 0TVC0ZZ — Restriction of Bladder Neck, Open Approach, 0TVD0ZZ — Restriction of Urethra, Open Approach

Same operation — other Approach

Same table and root operation, differing only in the approach character.

0TV43ZZ — Restriction of Left Kidney Pelvis, Percutaneous Approach, 0TV44ZZ — Restriction of Left Kidney Pelvis, Percutaneous Endoscopic Approach, 0TV47ZZ — Restriction of Left Kidney Pelvis, Via Natural or Artificial Opening, 0TV48ZZ — Restriction of Left Kidney Pelvis, Via Natural or Artificial Opening Endoscopic

Same operation — other Device

Same table and root operation, differing only in the device character.

0TV40CZ — Restriction of Left Kidney Pelvis with Extraluminal Device, Open Approach, 0TV40DZ — Restriction of Left Kidney Pelvis with Intraluminal Device, Open Approach

Same procedure category (CCSR), other tables

AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Urinary system procedures, NEC (Urinary System Procedures); listed here are the members in other PCS tables. Source: Clinical Classifications Software Refined (CCSR), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, November 2025.

0TS70ZZ — Reposition Left Ureter, Open Approach, 0TS74ZZ — Reposition Left Ureter, Percutaneous Endoscopic Approach, 0TS80ZZ — Reposition Bilateral Ureters, Open Approach, 0TS84ZZ — Reposition Bilateral Ureters, Percutaneous Endoscopic Approach, 0TSB0ZZ — Reposition Bladder, Open Approach, 0TSB4ZZ — Reposition Bladder, Percutaneous Endoscopic Approach, 0TSC0ZZ — Reposition Bladder Neck, Open Approach, 0TSC4ZZ — Reposition Bladder Neck, Percutaneous Endoscopic Approach, 0TSD0ZZ — Reposition Urethra, Open Approach, 0TSD4ZZ — Reposition Urethra, Percutaneous Endoscopic Approach, 0TW502Z — Revision of Monitoring Device in Kidney, Open Approach, 0TW503Z — Revision of Infusion Device in Kidney, Open Approach, 0TW507Z — Revision of Autologous Tissue Substitute in Kidney, Open Approach, 0TW50CZ — Revision of Extraluminal Device in Kidney, Open Approach, 0TW50JZ — Revision of Synthetic Substitute in Kidney, Open Approach, 0TW50KZ — Revision of Nonautologous Tissue Substitute in Kidney, Open Approach, 0TW50YZ — Revision of Other Device in Kidney, Open Approach, 0TW532Z — Revision of Monitoring Device in Kidney, Percutaneous Approach, 0TW533Z — Revision of Infusion Device in Kidney, Percutaneous Approach, 0TW537Z — Revision of Autologous Tissue Substitute in Kidney, Percutaneous Approach, +709 more

Contextual Map

Every relationship of 0TV40ZZ 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.

Run 0TV40ZZ with these 5 related codes in Claim Check

PCS table

MS-DRG participation

Clinical classification (CCSR)

MDC crossing · diagnoses (721)

  • 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.”— CMS MS-DRG Definitions Manual · FY2027
  • 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.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
  • 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.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
  • A18.12 — Tuberculosis of bladder[Same-MDC diagnosis]: “Tuberculosis of bladder — grouped in MDC 11, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
  • 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.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
  • A36.85 — Diphtheritic cystitis[Same-MDC diagnosis]: “Diphtheritic cystitis — grouped in MDC 11, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
  • and 716 more

Nearest codes

Change history

No changes recorded for this code. This ledger tracks additions, deletions and description changes from FY2016 onward. Note changes are not tracked.

Read from: CMS ICD-10-PCS code tables, index and definitions — FY2027; CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44; AHRQ HCUP Clinical Classifications Software Refined for ICD-10-PCS Procedures (hcup-us.ahrq.gov/toolssoftware/ccsr/PRCCSR_v2026-1.zip) — v2026.1. All data sources · How to read the labels · How MedCoder verifies its implementation

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources