2022 ICD-10-PCS Procedure Code 0HRV075

Replacement of Bilateral Breast using Latissimus Dorsi Myocutaneous Flap, Open Approach

Version 2021
Billable Code

Valid for Submission

ICD-10-PCS:0HRV075
Short Description:Replacement of Bi Breast using Lat Dorsi Flap, Open Approach
Long Description:Replacement of Bilateral Breast using Latissimus Dorsi Myocutaneous Flap, Open Approach

0HRV075 is a billable procedure code used to specify the performance of replacement of bilateral breast using latissimus dorsi myocutaneous flap, open approach. The code is valid for the year 2022 for the submission of HIPAA-covered transactions.

The procedure code 0HRV075 is in the medical and surgical section and is part of the skin and breast body system, classified under the replacement operation. The applicable bodypart is breast, bilateral.

ICD-10-PCS Details

Position Designation Character Label Notes
1 Section 0 Medical and Surgical
2 Body System H Skin and Breast
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 V Breast, Bilateral Includes:
  • Mammary duct
  • Mammary gland
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

6 Device 7 Autologous Tissue Substitute Includes:
  • Autograft
  • Cultured epidermal cell autograft
  • Epicel(R) cultured epidermal autograft
7 Qualifier 5 Latissimus Dorsi Myocutaneous Flap

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 0HRV075 is grouped in the following groups for version MS-DRG V38.0 applicable from 10/01/2021 through 09/30/2022.

MS-DRG MS-DRG Title MCD Relative Weight
582MASTECTOMY FOR MALIGNANCY WITH CC/MCC091.6431
583MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC091.5415
584BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC091.8367
585BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC091.7396
907OTHER O.R. PROCEDURES FOR INJURIES WITH MCC213.9482
908OTHER O.R. PROCEDURES FOR INJURIES WITH CC212.0504
909OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC211.371
957OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC247.4209
958OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC244.2057
959OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC242.7361

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 0HRV075 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 2022 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2021 through September 30, 2022.

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.