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ICD-10-PCS 2027 procedure code

0BU187ZSupplement Trachea with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic

✓ Valid for 2027O.R. procedure

Short description: Supplement Trachea with Autologous Tissue Substitute, Endo

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 0BU187Z

0BU187Z is the ICD-10-PCS code for a supplement procedure on the trachea using a via natural or artificial opening endoscopic approach with autologous tissue substitute. In ICD-10-PCS, supplement means putting in or on biological or synthetic material that physically reinforces and/or augments the function of 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 0BU287Z (carina), 0BU387Z (right main bronchus), 0BU487Z (right upper lobe bronchus), 0BU587Z (right middle lobe bronchus), 0BU687Z (right lower lobe bronchus), 0BU787Z (left main bronchus) and 3 more.

The same procedure with a different approach is coded 0BU107Z (open) and 0BU147Z (percutaneous endoscopic).

With a different device, use 0BU18JZ (synthetic substitute) and 0BU18KZ (nonautologous tissue 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
USupplement

Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part

The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced, and the Supplement procedure is performed to physically reinforce and/or augment the function of the replaced body part

Includes: Herniorrhaphy using mesh, mitral valve ring annuloplasty, put a new acetabular liner in a previous hip replacement

4. Body Part
1Trachea
5. Approach
8Via Natural or Artificial Opening Endoscopic

Entry of instrumentation through a natural or artificial external opening to reach and visualize the site of the procedure

6. Device
7Autologous Tissue Substitute

Includes: Autograft; Cultured epidermal cell autograft; Epicel(R) cultured epidermal autograft

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 0BU187Z

Is 0BU187Z a valid ICD-10-PCS code for 2027?

Yes. 0BU187Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0BU187Z an O.R. procedure?

Yes. 0BU187Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0BU187Z group to?

Depending on the principal diagnosis, 0BU187Z 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 0BU187Z?

The CMS GEMs map 0BU187Z to ICD-9-CM 31.79 (Other repair and plastic operations on trachea).