2025 ICD-10-CM Procedure Code 0BU187Z

Supplement Trachea with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic

ICD-10-PCS Code:: 0BU187Z
ICD-10-PCS Code for:: Supplement Trachea with Autologous Tissue Substitute, Endo
Is Billable?: Yes - Valid for Submission
Code Navigator:

0BU187Z is a billable procedure code used to specify the performance of supplement trachea with autologous tissue substitute, via natural or artificial opening endoscopic. 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 reinforces and/or augments the function of a portion of a body part. Procedure code explanation: the biological material is non-living, or is living and from the same individual. the body part may have been previously replaced, and the supplement procedure is performed to physically reinforce and/or augment the function of the replaced body part herniorrhaphy using mesh, mitral valve ring annuloplasty, put a new acetabular liner in a previous hip replacement

Table of Contents

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

0BU187Z 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 supplement operation. The applicable bodypart for this procedure code is trachea.

Position	Designation	Character	Label	Procedures Notes
1	Section	0	Medical and Surgical
2	Body System	B	Respiratory System
3	Operation	U	Supplement	Involves: Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part Explanation: The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced, and the Supplement procedure is performed to physically reinforce and/or augment the function of the replaced body part Includes: Herniorrhaphy using mesh, mitral valve ring annuloplasty, put a new acetabular liner in a previous hip replacement
4	BodyPart	1	Trachea	Includes: Cricoid cartilage
5	Approach	8	Via Natural or Artificial Opening Endoscopic	Involves: Entry of instrumentation through a natural or artificial external opening to reach and visualize the site of the procedure
6	Device	7	Autologous Tissue Substitute	Includes: Autograft Cultured epidermal cell autograft Epicel(R) cultured epidermal autograft
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

0BU187Z replaces the following previously assigned ICD-10-PCS code(s):

0BU147Z - Supplement Trachea with Autol Sub, Perc Endo Approach
0BU147Z - Supplement Trachea with Autol Sub, Perc Endo Approach
0BU147Z - Supplement Trachea with Autol Sub, Perc Endo Approach
0BU147Z - Supplement Trachea with Autol Sub, Perc Endo Approach
0BU147Z - Supplement Trachea with Autol Sub, Perc Endo Approach
0BU147Z - Supplement Trachea with Autol Sub, 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.

0BU187Z 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 0BU187Z 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
143	Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC	03
144	Other Ear, Nose, Mouth and Throat O.R. Procedures with CC	03
145	Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC	03
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: 3179 (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 Supplement Trachea

Filter related codes list:

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.