2021 ICD-10-PCS Procedure Code 0H9X0ZX

Drainage of Left Nipple, Open Approach, Diagnostic

Version 2021
Billable Code

Valid for Submission

ICD-10-PCS:0H9X0ZX
Short Description:Drainage of Left Nipple, Open Approach, Diagnostic
Long Description:Drainage of Left Nipple, Open Approach, Diagnostic

0H9X0ZX is a billable procedure code used to specify the performance of drainage of left nipple, open approach, diagnostic. The code is valid for the year 2021 for the submission of HIPAA-covered transactions.

The procedure code 0H9X0ZX is in the medical and surgical section and is part of the skin and breast body system, classified under the drainage operation. The applicable bodypart is nipple, left.

ICD-10-PCS Details

Position Designation Character Label Notes
1 Section 0 Medical and Surgical
2 Body System H Skin and Breast
3 Operation 9 Drainage

Involves:
Taking or letting out fluids and/or gases from a body part

Explanation:
The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies

Involves:
Taking or letting out fluids and/or gases from a body part

Explanation:
The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies

Includes:
  • Thoracentesis, incision and drainage
  • Thoracentesis, incision and drainage
4 BodyPart X Nipple, Left Includes:
  • Areola
  • Areola
5 Approach 0 Open

Involves:
Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

Involves:
Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

6 Device Z No Device

Explanation:
The value Z is used for the sixth character to indicate that a specific device does not apply to the procedure.

7 Qualifier X Diagnostic

Diagnostic Related Groups - MS-DRG Mapping

The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The procedure code 0H9X0ZX is grouped in the following groups for version MS-DRG V38.0 applicable from 10/01/2020 through 09/30/2021.

MS-DRG MS-DRG Title MCD Relative Weight
584BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC091.8303
585BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC091.7423
628OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC103.6981
629OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC102.3468
630OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC101.4069
907OTHER O.R. PROCEDURES FOR INJURIES WITH MCC213.9571
908OTHER O.R. PROCEDURES FOR INJURIES WITH CC212.0404
909OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC211.3746
957OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC247.4208
958OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC244.2054
959OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC242.7342

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Convert 0H9X0ZX 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:

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. These 2021 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2020 through September 30, 2021.

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.