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

  • Billable / Specific Code
ICD-10-PCS 0HRU078
CMS Source: FY 2027 ICD-10-PCS dataset. Effective Oct 1, 2026 – Sep 30, 2027.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 2027 (October 1, 2026 through September 30, 2027) 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. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Breast reconstruction.

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
Short Description
Replacement of Left Breast using SIEA Flap, Open Approach
Parent Code

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

In the ICD-10-PCS Alphabetic Index

These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:

Direct entry for this code
Anatomy or device term that leads here
Leads to this code's table
Anatomy or device term that leads here
Leads to this code's table
Replacement, Breast, Left
Leads to this code's table
Leads to this code's table

To code superficial inferior epigastric artery flap of the left replacement, open the FY 2027 ICD-10-PCS Alphabetic Index at Superficial Inferior Epigastric Artery Flap, then the subterms Replacement, Left. The entry lists 0HRU078 directly as a complete, billable code.

Browse the full ICD-10-PCS Alphabetic Index →

Clinical Classification (CCSR)

AHRQ groups this procedure code into these clinical categories.

SKB004
Breast reconstruction
Clinical domain: Skin and Breast Procedures

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for this code under the General Equivalence Mappings.

85.75
Superficial inferior epigastric artery (SIEA) flap, free
Approximate match.

Code History

Replaced in the FY 2027 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. This 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, 2026 through September 30, 2027.

What is the ICD-10-PCS code for superficial inferior epigastric artery flap of the left replacement?

The FY 2027 ICD-10-PCS Alphabetic Index entry Superficial Inferior Epigastric Artery Flap, Replacement, Left is a direct entry for 0HRU078, Replacement of Left Breast using Superficial Inferior Epigastric Artery Flap, Open Approach, billable on inpatient claims from October 1, 2026 through September 30, 2027.

What do the characters in 0HRU078 mean?

The code 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 1.3810 to 7.5502. 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 (Superficial inferior epigastric artery (SIEA) flap, free). The mapping is approximate, so confirm it fits the documentation.