0HRV0KZReplacement of Bilateral Breast with Nonautologous Tissue Substitute, Open Approach
- Billable / Specific Code
0HRV0KZ is a billable ICD-10-PCS procedure code for Replacement of Bilateral Breast with Nonautologous Tissue Substitute, Open Approach. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRGs 584, 585. 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 | K | Nonautologous Tissue Substitute |
| 7 | Qualifier | Z | No Qualifier |
In the ICD-10-PCS Alphabetic Index
These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:
To code replacement of the bilateral breast, open the FY 2027 ICD-10-PCS Alphabetic Index at Replacement, then the subterms Breast, Bilateral. The index leads to table 0HR, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 0HRV0KZ.
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 0HRV0KZ
Is 0HRV0KZ a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Replacement of Bilateral Breast with Nonautologous Tissue Substitute, Open Approach on inpatient claims from October 1, 2026 through September 30, 2027.
What do the characters in 0HRV0KZ 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 K is the Device (Nonautologous Tissue Substitute); the 7th character Z is the Qualifier (No Qualifier).
What MS-DRG does 0HRV0KZ group to?
On an inpatient stay, Replacement of Bilateral Breast with Nonautologous Tissue Substitute, Open Approach maps to MS-DRGs 584, 585, with relative weights from 1.8916 to 2.0292. The MS-DRG sets the fixed Medicare payment for the stay.
What is the ICD-9-PCS equivalent of 0HRV0KZ?
Under the General Equivalence Mappings, Replacement of Bilateral Breast with Nonautologous Tissue Substitute, Open Approach crosswalks to ICD-9-PCS 85.89 (Other mammoplasty). The mapping is approximate, so confirm it fits the documentation.
