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ICD-10-PCS 2027 procedure code

0BU447ZSupplement Right Upper Lobe Bronchus with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Supplement R Up Lobe Bronc w Autol Sub, Perc Endo

Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0BU447Z

0BU447Z is the ICD-10-PCS code for a supplement procedure on the right upper lobe bronchus using a percutaneous 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 bronchus, the ICD-9-CM procedure title it maps to (33.48).

For a different body part, codes include 0BU147Z (trachea), 0BU247Z (carina), 0BU347Z (right main bronchus), 0BU547Z (right middle lobe bronchus), 0BU647Z (right lower lobe bronchus), 0BU747Z (left main bronchus) and 4 more.

The same procedure with a different approach is coded 0BU407Z (open) and 0BU487Z (via natural or artificial opening endoscopic).

With a different device, use 0BU44JZ (synthetic substitute) and 0BU44KZ (nonautologous tissue substitute).

It is an operating-room procedure in the MS-DRG logic for 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 category “Major Chest Procedures”.

It has been valid since ICD-10-PCS took effect on October 1, 2015.

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
4Upper Lobe Bronchus, Right
5. Approach
4Percutaneous Endoscopic

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary 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 →
  • 33.48Other repair and plastic operations on bronchusapproximate

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
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 0BU447Z

Is 0BU447Z a valid ICD-10-PCS code for 2027?

Yes. 0BU447Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0BU447Z an O.R. procedure?

Yes. 0BU447Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0BU447Z group to?

Depending on the principal diagnosis, 0BU447Z can group to MS-DRG 163, MS-DRG 164 and MS-DRG 165.

What is the ICD-9 procedure code for 0BU447Z?

The CMS GEMs map 0BU447Z to ICD-9-CM 33.48 (Other repair and plastic operations on bronchus).