0HRV076Replacement of Bilateral Breast using Transverse Rectus Abdominis Myocutaneous Flap, Open Approach
- Billable / Specific Code
0HRV076 is a billable ICD-10-PCS procedure code for Replacement of Bilateral Breast using Transverse Rectus Abdominis Myocutaneous 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
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.
| Position | Designation | Value | Meaning |
|---|---|---|---|
| 1 | Section | 0 | Medical and Surgical |
| 2 | Body System | H | Skin and Breast |
| 3 | Operation | R | Replacement |
| 4 | BodyPart | V | Breast, Bilateral |
| 5 | Approach | 0 | Open |
| 6 | Device | 7 | Autologous Tissue Substitute |
| 7 | Qualifier | 6 | Transverse Rectus Abdominis Myocutaneous Flap |
In the ICD-10-PCS Alphabetic Index
These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:
To code transverse rectus abdominis myocutaneous flap of the bilateral replacement, open the FY 2027 ICD-10-PCS Alphabetic Index at Transverse Rectus Abdominis Myocutaneous Flap, then the subterms Replacement, Bilateral. The entry lists 0HRV076 directly as a complete, billable code.
Clinical Classification (CCSR)
AHRQ groups this procedure code into these clinical categories.
Convert to ICD-9-PCS
Closest ICD-9-PCS equivalents for this code under the General Equivalence Mappings.
Similar Procedure Codes
Questions About 0HRV076
Is 0HRV076 a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Replacement of Bilateral Breast using Transverse Rectus Abdominis Myocutaneous Flap, Open Approach on inpatient claims from October 1, 2026 through September 30, 2027.
What is the ICD-10-PCS code for transverse rectus abdominis myocutaneous flap of the bilateral replacement?
The FY 2027 ICD-10-PCS Alphabetic Index entry Transverse Rectus Abdominis Myocutaneous Flap, Replacement, Bilateral is a direct entry for 0HRV076, Replacement of Bilateral Breast using Transverse Rectus Abdominis Myocutaneous Flap, Open Approach, billable on inpatient claims from October 1, 2026 through September 30, 2027.
What do the characters in 0HRV076 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 V is the BodyPart (Breast, Bilateral); the 5th character 0 is the Approach (Open); the 6th character 7 is the Device (Autologous Tissue Substitute); the 7th character 6 is the Qualifier (Transverse Rectus Abdominis Myocutaneous Flap).
What MS-DRG does 0HRV076 group to?
On an inpatient stay, Replacement of Bilateral Breast using Transverse Rectus Abdominis Myocutaneous 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 0HRV076?
Under the General Equivalence Mappings, Replacement of Bilateral Breast using Transverse Rectus Abdominis Myocutaneous Flap, Open Approach crosswalks to ICD-9-PCS 85.73 (Transverse rectus abdominis myocutaneous (TRAM) flap, free). The mapping is approximate, so confirm it fits the documentation.
