2025 ICD-10-CM Procedure Code 0HRV07B

Replacement of Bilateral Breast using Lumbar Artery Perforator Flap, Open Approach

ICD-10-PCS Code:: 0HRV07B
ICD-10-PCS Code for:: Replacement of Bi Breast using LAP Flap, Open Approach
Is Billable?: Yes - Valid for Submission
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0HRV07B is a billable procedure code used to specify the performance of replacement of bilateral breast using lumbar artery perforator flap, open approach. The code is valid for the year 2025 for the submission of HIPAA-covered transactions. The procedure code 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. Procedure code 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 total hip replacement, bone graft, free skin graft

Table of Contents

Code Information
PCS Table
Replacement Code
Diagnostic Related Groups Mapping
Other Similar Codes

0HRV07B PCS Table

In an PCS table each code is represented by up seven alphanumeric characters, with each character in the table respresenting different aspects of the procedure. In the table provided below, each row represents an individual character and includes information about the character's position, designation, label, and procedure notes. For this PCS table the procedure code is in the medical and surgical section and is part of the skin and breast body system, classified under replacement operation. The applicable bodypart for this procedure code is breast, bilateral.

Position	Designation	Character	Label	Procedures 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	B	Lumbar Artery Perforator Flap

New 2025 ICD-10-PCS Code

0HRV07B is new to ICD-10-PCS code set for the FY 2025, effective October 1, 2022.

Replacement Code

0HRV07B replaces the following previously assigned ICD-10-PCS code(s):

0HRV07Z - Replacement of Bi Breast with Autol Sub, Open Approach
0HRV07Z - Replacement of Bi Breast with Autol Sub, Open Approach
0HRV07Z - Replacement of Bi Breast with Autol Sub, Open Approach
0HRV07Z - Replacement of Bi Breast with Autol Sub, Open Approach
0HRV07Z - Replacement of Bi Breast with Autol Sub, Open Approach
0HRV07Z - Replacement of Bi Breast with Autol Sub, Open Approach

0HRV07B is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together procedures for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on the primary procedure being performed. Once a patient is assigned a particular group, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care associated with a particular procedure. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The procedure code 0HRV07B is present in the following groups for version MS-DRG V42.0 applicable from 10/01/2024 through 09/30/2025.

MS-DRG	MS-DRG Title	MCD
582	Mastectomy for Malignancy with CC/MCC	09
583	Mastectomy for Malignancy without CC/MCC	09
584	Breast Biopsy, Local Excision and Other Breast Procedures with CC/MCC	09
585	Breast Biopsy, Local Excision and Other Breast Procedures without CC/MCC	09
907	Other O.R. Procedures for Injuries with MCC	21
908	Other O.R. Procedures for Injuries with CC	21
909	Other O.R. Procedures for Injuries without CC/MCC	21
957	Other O.R. Procedures for Multiple Significant Trauma with MCC	24
958	Other O.R. Procedures for Multiple Significant Trauma with CC	24
959	Other O.R. Procedures for Multiple Significant Trauma without CC/MCC	24

Other ICD-10-PCS Codes Used for Replacement Breast, Bilateral

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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. The 2025 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2024 through September 30, 2025.

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.