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ICD-10-PCS 2027 procedure code

0BR20KZReplacement of Carina with Nonautologous Tissue Substitute, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Replacement of Carina with Nonaut Sub, Open Approach

Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0BR20KZ

0BR20KZ is the ICD-10-PCS code for a replacement procedure on the carina using an open approach with nonautologous tissue substitute. In ICD-10-PCS, replacement means 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 plain terms, this corresponds to other repair and plastic operations on trachea, the ICD-9-CM procedure title it maps to (31.79).

For a different body part, codes include 0BR10KZ (trachea), 0BR30KZ (right main bronchus), 0BR40KZ (right upper lobe bronchus), 0BR50KZ (right middle lobe bronchus), 0BR60KZ (right lower lobe bronchus), 0BR70KZ (left main bronchus) and 4 more.

The same procedure with a different approach is coded 0BR24KZ (percutaneous endoscopic).

With a different device, use 0BR207Z (autologous tissue substitute) and 0BR20JZ (synthetic substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 143 (Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC), DRG 144 (Other Ear, Nose, Mouth and Throat O.R. Procedures with CC), DRG 145 (Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC), DRG 163 (Major Chest Procedures with MCC), DRG 164 (Major Chest Procedures with CC) and DRG 165 (Major Chest Procedures without CC/MCC), under the surgical categories “Other Ear, Nose, Mouth and Throat O.R. Procedures”, “Major Chest Procedures”, “Other O.R. Procedures for Injuries” and 1 more.

It was added in FY2018, effective October 1, 2017.

What each character means

1. Section
0Medical and Surgical
2. Body System
BRespiratory System
3. Operation
RReplacement

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

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. Body Part
2Carina
5. Approach
0Open

Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

6. Device
KNonautologous Tissue Substitute

Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft

7. Qualifier
ZNo Qualifier

Other versions of this procedure

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

ICD-9-CM equivalent

Converter →
  • 31.79Other repair and plastic operations on tracheaapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2018 (effective 10/1/2017): Added
  • No changes since FY2018.

Common questions about 0BR20KZ

Is 0BR20KZ a valid ICD-10-PCS code for 2027?

Yes. 0BR20KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0BR20KZ an O.R. procedure?

Yes. 0BR20KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0BR20KZ group to?

Depending on the principal diagnosis, 0BR20KZ can group to MS-DRG 143, MS-DRG 144, MS-DRG 145, MS-DRG 163, MS-DRG 164 and MS-DRG 165.

What is the ICD-9 procedure code for 0BR20KZ?

The CMS GEMs map 0BR20KZ to ICD-9-CM 31.79 (Other repair and plastic operations on trachea).