0HRV0JZReplacement of Bilateral Breast with Synthetic Substitute, Open Approach

  • Billable / Specific Code
ICD-10-PCS 0HRV0JZ
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

0HRV0JZ is a billable ICD-10-PCS procedure code for Replacement of Bilateral Breast with Synthetic Substitute, 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
0HRV0JZ
Billable Status
Yes — Valid for Submission
Code Describes
Replacement of Bilateral Breast with Synthetic Substitute, Open Approach
Parent Code
Short Description
Replacement of Bi Breast with Synth Sub, 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
4BodyPartVBreast, Bilateral
5Approach0Open
6DeviceJSynthetic Substitute
7QualifierZNo Qualifier

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for 0HRV0JZ under the General Equivalence Mappings.

85.33
Approximate match.

Similar Procedure Codes

Questions About 0HRV0JZ

Is 0HRV0JZ a billable code?

Yes. 0HRV0JZ is a complete seven-character ICD-10-PCS code, specific enough to report Replacement of Bilateral Breast with Synthetic Substitute, Open Approach on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in 0HRV0JZ mean?

0HRV0JZ 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 J is the Device (Synthetic Substitute); the 7th character Z is the Qualifier (No Qualifier).

What MS-DRG does 0HRV0JZ group to?

On an inpatient stay, Replacement of Bilateral Breast with Synthetic Substitute, 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 0HRV0JZ?

Under the General Equivalence Mappings, Replacement of Bilateral Breast with Synthetic Substitute, Open Approach crosswalks to ICD-9-PCS 85.33. The mapping is approximate, so confirm it fits the documentation.