2025 ICD-10-CM Procedure Code 0BR44KZ

Replacement of Right Upper Lobe Bronchus with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

ICD-10-PCS Code:: 0BR44KZ
ICD-10-PCS Code for:: Replace R Up Lobe Bronc w Nonaut Sub, Perc Endo
Is Billable?: Yes - Valid for Submission
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0BR44KZ is a billable procedure code used to specify the performance of replacement of right upper lobe bronchus with nonautologous tissue substitute, percutaneous endoscopic approach. The code is valid for the year 2025 for the submission of HIPAA-covered transactions. The procedure code involves 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. Procedure code explanation: the body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during the replacement procedure. a removal procedure is coded for taking out the device used in a previous replacement procedure total hip replacement, bone graft, free skin graft

Table of Contents

Code Information
PCS Table
Replacement Code
Clinical Classification
Diagnostic Related Groups Mapping
Convert to ICD-9-PCS
Other Similar Codes

0BR44KZ PCS Table

In an PCS table each code is represented by up seven alphanumeric characters, with each character in the table respresenting different aspects of the procedure. In the table provided below, each row represents an individual character and includes information about the character's position, designation, label, and procedure notes. For this PCS table the procedure code is in the medical and surgical section and is part of the respiratory system body system, classified under replacement operation. The applicable bodypart for this procedure code is upper lobe bronchus, right.

Position	Designation	Character	Label	Procedures Notes
1	Section	0	Medical and Surgical
2	Body System	B	Respiratory System
3	Operation	R	Replacement	Involves: 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 Explanation: The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during the Replacement procedure. A Removal procedure is coded for taking out the device used in a previous replacement procedure Includes: Total hip replacement, bone graft, free skin graft
4	BodyPart	4	Upper Lobe Bronchus, Right
5	Approach	4	Percutaneous Endoscopic	Involves: Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure
6	Device	K	Nonautologous Tissue Substitute	Includes: Acellular Hydrated Dermis Bone bank bone graft Cook Biodesign(R) Fistula Plug(s) Cook Biodesign(R) Hernia Graft(s) Cook Biodesign(R) Layered Graft(s) Cook Zenapro(tm) Layered Graft(s) Fish skin Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose) MIRODERM(tm) Biologic Wound Matrix Piscine skin Tissue bank graft
7	Qualifier	Z	No Qualifier	Explanation: The value Z is used for the seventh character to indicate that a specific qualifier does not apply to the procedure.

Replacement Code

0BR44KZ replaces the following previously assigned ICD-10-PCS code(s):

0BQ44ZZ - Repair Right Upper Lobe Bronchus, Perc Endo Approach
0BQ44ZZ - Repair Right Upper Lobe Bronchus, Perc Endo Approach
0BQ44ZZ - Repair Right Upper Lobe Bronchus, Perc Endo Approach
0BQ44ZZ - Repair Right Upper Lobe Bronchus, Perc Endo Approach
0BQ44ZZ - Repair Right Upper Lobe Bronchus, Perc Endo Approach
0BQ44ZZ - Repair Right Upper Lobe Bronchus, Perc Endo Approach

Clinical Classification

Clinical Category is Respiratory system procedures, NEC
CCSR Category Code: RES014
Clinical Domain is Respiratory System Procedures - RES contains 14 categories that include procedures performed on the respiratory system such as airway intubation, bronchoscopy, chest tube placement and therapeutic thoracentesis, and tracheostomy.

0BR44KZ is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together procedures for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on the primary procedure being performed. Once a patient is assigned a particular group, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care associated with a particular procedure. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The procedure code 0BR44KZ is present in the following groups for version MS-DRG V42.0 applicable from 10/01/2024 through 09/30/2025.

MS-DRG	MS-DRG Title	MCD
163	Major Chest Procedures with MCC	04
164	Major Chest Procedures with CC	04
165	Major Chest Procedures without CC/MCC	04
907	Other O.R. Procedures for Injuries with MCC	21
908	Other O.R. Procedures for Injuries with CC	21
909	Other O.R. Procedures for Injuries without CC/MCC	21
957	Other O.R. Procedures for Multiple Significant Trauma with MCC	24
958	Other O.R. Procedures for Multiple Significant Trauma with CC	24
959	Other O.R. Procedures for Multiple Significant Trauma without CC/MCC	24

Convert to ICD-9-PCS

The following crosswalk between ICD-10-PCS to ICD-9-PCS is based based on the General Equivalence Mappings (GEMS) information:

ICD-9-PCS: 3348 (Approximate Flag) Approximate Flag
The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.

Other ICD-10-PCS Codes Used for Replacement Upper Lobe Bronchus, Right

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What is ICD-10-PCS?

The ICD-10 Procedure Coding System (ICD-10-PCS) is a catalog of procedural codes used by medical professionals for hospital inpatient healthcare settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates. The 2025 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2024 through September 30, 2025.

Each ICD-10-PCS code has a structure of seven alphanumeric characters and contains no decimals. The first character defines the major "section". Depending on the "section" the second through seventh characters mean different things.