ICD-10-PCS Code For Urinary: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 5A1D includes procedures performed to completely take over urinary physiological function by extracorporeal means in the urinary system. These ICD-10-PCS codes are used for inpatient documentation when a patient requires full external support to assume urinary function that the body cannot perform. Accurate coding within the ICD-10-PCS 5A1D group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Urinary Performance Procedure Overview

This procedure group includes extracorporeal or systemic assistance and performance procedures that completely take over urinary physiological function by noninvasive, external means. These procedures target the urinary body part within the physiological systems body system and provide full replacement of urinary function. Accurate ICD-10-PCS coding of these procedures is important for inpatient reimbursement because it documents the level of support provided and determines appropriate case mix and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
5	Section	Extracorporeal or Systemic Assistance and Performance
A	Body System	Physiological Systems
1	Operation	Performance
D	Body Part	Urinary

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ICD-10-PCS Code For Urinary: Procedure Code Group Overview

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Urinary Performance Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
5	Section	Extracorporeal or Systemic Assistance and Performance
A	Body System	Physiological Systems
1	Operation	Performance
D	Body Part	Urinary

When to Use

Use a code from this group when a patient receives extracorporeal or systemic assistance that entirely replaces urinary function during an inpatient encounter. These codes apply when the procedure performs the urinary physiological function rather than partially supporting or monitoring it.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
5A1D70Z	Performance of Urinary Filtration, Intermittent, Less than 6 Hours Per Day
5A1D80Z	Performance of Urinary Filtration, Prolonged Intermittent, 6-18 hours Per Day
5A1D90Z	Performance of Urinary Filtration, Continuous, Greater than 18 hours Per Day

DRG Codes

3 rows

DRG Code	Description
019	Simultaneous Pancreas and Kidney Transplant with Hemodialysis
650	Kidney Transplant with Hemodialysis with MCC
651	Kidney Transplant with Hemodialysis without MCC

Typical Clinical Scenarios

An adult patient is admitted to the acute care unit with anuric acute kidney injury after severe hypovolemia and sepsis. The care team initiates continuous extracorporeal urinary filtration to fully assume urinary function while hemodynamic instability persists and renal recovery is uncertain. Continuous external performance is chosen because the patient requires uninterrupted removal of urinary solutes and fluid over prolonged hours to maintain stability. Typical codes: 5A1D90Z
A patient with chronic end-stage renal disease is admitted for planned initiation of intermittent outpatient-style urinary filtration in an inpatient setting for optimization and training before transition. The therapy is scheduled for less than 6 hours per day over several days to replace urinary function intermittently while staff assess adequacy and patient tolerance prior to discharge. Typical codes: 5A1D70Z
A hospitalized patient with prolonged oligoanuria after major cardiac surgery develops worsening electrolyte disturbances despite conservative measures; clinicians escalate support to prolonged intermittent urinary filtration delivered for 6–18 hours per day to fully assume urinary function and correct metabolic derangements while awaiting organ recovery. The change is performed because intermittent short sessions were inadequate and continuous therapy is not yet indicated. Typical codes: 5A1D80Z

Related Codes

5A12-CARDIAC-PERFORMANCE

ICD-10-PCS Code For Cardiac: Procedure Code Group Overview

5A15-CIRCULATORY-PERFORMANCE

ICD-10-PCS Code For Circulatory: Procedure Code Group Overview

5A19-RESPIRATORY-PERFORMANCE

ICD-10-PCS Code For Respiratory: Procedure Code Group Overview

5A1C-BILIARY-PERFORMANCE

ICD-10-PCS Code For Biliary: Procedure Code Group Overview

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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When to Use

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
5A1D70Z	Performance of Urinary Filtration, Intermittent, Less than 6 Hours Per Day
5A1D80Z	Performance of Urinary Filtration, Prolonged Intermittent, 6-18 hours Per Day
5A1D90Z	Performance of Urinary Filtration, Continuous, Greater than 18 hours Per Day

DRG Codes

3 rows

DRG Code	Description
019	Simultaneous Pancreas and Kidney Transplant with Hemodialysis
650	Kidney Transplant with Hemodialysis with MCC
651	Kidney Transplant with Hemodialysis without MCC

Typical Clinical Scenarios

An adult patient is admitted to the acute care unit with anuric acute kidney injury after severe hypovolemia and sepsis. The care team initiates continuous extracorporeal urinary filtration to fully assume urinary function while hemodynamic instability persists and renal recovery is uncertain. Continuous external performance is chosen because the patient requires uninterrupted removal of urinary solutes and fluid over prolonged hours to maintain stability. Typical codes: 5A1D90Z
A patient with chronic end-stage renal disease is admitted for planned initiation of intermittent outpatient-style urinary filtration in an inpatient setting for optimization and training before transition. The therapy is scheduled for less than 6 hours per day over several days to replace urinary function intermittently while staff assess adequacy and patient tolerance prior to discharge. Typical codes: 5A1D70Z
A hospitalized patient with prolonged oligoanuria after major cardiac surgery develops worsening electrolyte disturbances despite conservative measures; clinicians escalate support to prolonged intermittent urinary filtration delivered for 6–18 hours per day to fully assume urinary function and correct metabolic derangements while awaiting organ recovery. The change is performed because intermittent short sessions were inadequate and continuous therapy is not yet indicated. Typical codes: 5A1D80Z

Related Codes

5A12-CARDIAC-PERFORMANCE

ICD-10-PCS Code For Cardiac: Procedure Code Group Overview

5A15-CIRCULATORY-PERFORMANCE

ICD-10-PCS Code For Circulatory: Procedure Code Group Overview

5A19-RESPIRATORY-PERFORMANCE

ICD-10-PCS Code For Respiratory: Procedure Code Group Overview

5A1C-BILIARY-PERFORMANCE

ICD-10-PCS Code For Biliary: Procedure Code Group Overview

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-PCS Code For Urinary: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Urinary: Procedure Code Group Overview policy alerts

Urinary Performance Procedure Overview

Code Attributes

ICD-10-PCS Code For Urinary: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Urinary: Procedure Code Group Overview policy alerts

Urinary Performance Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

What procedures are included in ICD-10-PCS code group 5A1D?

How do the individual codes in 5A1D differ from one another?

For which clinical setting are 5A1D codes intended to be used?

Why is accurate coding within the 5A1D group important for hospitals?

What code attributes define the 5A1D procedure group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

What procedures are included in ICD-10-PCS code group 5A1D?

How do the individual codes in 5A1D differ from one another?

For which clinical setting are 5A1D codes intended to be used?

Why is accurate coding within the 5A1D group important for hospitals?

What code attributes define the 5A1D procedure group?

References