0HRU078Replacement of Left Breast using Superficial Inferior Epigastric Artery Flap, Open Approach

  • Billable / Specific Code
ICD-10-PCS 0HRU078
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

0HRU078 is a billable ICD-10-PCS procedure code for Replacement of Left Breast using Superficial Inferior Epigastric Artery Flap, Open Approach. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to 10 MS-DRGs. The root operation 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.

Code Identity

ICD-10-PCS Code
0HRU078
Billable Status
Yes — Valid for Submission
Code Describes
Replacement of Left Breast using Superficial Inferior Epigastric Artery Flap, Open Approach
Parent Code
Short Description
Replacement of Left Breast using SIEA Flap, Open Approach

PCS Table Breakdown

Each ICD-10-PCS code is built from seven characters, each an axis of the procedure. Hover or tap the icons for the official CMS definitions.

PositionDesignationValueMeaning
1Section0Medical and Surgical
2Body SystemHSkin and Breast
3OperationRReplacement
4BodyPartUBreast, Left
5Approach0Open
6Device7Autologous Tissue Substitute
7Qualifier8Superficial Inferior Epigastric Artery Flap

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for 0HRU078 under the General Equivalence Mappings.

85.75
Approximate match.

Code History

Replaced in the FY 2026 code set by:
  • 0KXG0Z8 — Transfer Left Trunk Muscle, SIEA Flap, Open Approach
  • 0KXG4Z8 — Transfer Left Trunk Muscle, SIEA Flap, Perc Endo Approach

Similar Procedure Codes

Questions About 0HRU078

Is 0HRU078 a billable code?

Yes. 0HRU078 is a complete seven-character ICD-10-PCS code, specific enough to report Replacement of Left Breast using Superficial Inferior Epigastric Artery Flap, Open Approach on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in 0HRU078 mean?

0HRU078 breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character H is the Body System (Skin and Breast); the 3rd character R is the Operation (Replacement); the 4th character U is the BodyPart (Breast, Left); the 5th character 0 is the Approach (Open); the 6th character 7 is the Device (Autologous Tissue Substitute); the 7th character 8 is the Qualifier (Superficial Inferior Epigastric Artery Flap).

What MS-DRG does 0HRU078 group to?

On an inpatient stay, Replacement of Left Breast using Superficial Inferior Epigastric Artery Flap, Open Approach maps to MS-DRGs 582, 583, 584, 585, 907, 908, 909, 957, 958, 959, with relative weights from 1.3127 to 7.6199. The MS-DRG sets the fixed Medicare payment for the stay.

What is the ICD-9-PCS equivalent of 0HRU078?

Under the General Equivalence Mappings, Replacement of Left Breast using Superficial Inferior Epigastric Artery Flap, Open Approach crosswalks to ICD-9-PCS 85.75. The mapping is approximate, so confirm it fits the documentation.