ICD-10-PCS 2027 procedure code
0BUB4KZSupplement Left Lower Lobe Bronchus with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
Short description: Supplement L Low Lobe Bronc w Nonaut 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 0BUB4KZ
0BUB4KZ is the ICD-10-PCS code for a supplement procedure on the left lower lobe bronchus using a percutaneous endoscopic approach with nonautologous 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 0BU14KZ (trachea), 0BU24KZ (carina), 0BU34KZ (right main bronchus), 0BU44KZ (right upper lobe bronchus), 0BU54KZ (right middle lobe bronchus), 0BU64KZ (right lower lobe bronchus) and 4 more.
The same procedure with a different approach is coded 0BUB0KZ (open) and 0BUB8KZ (via natural or artificial opening endoscopic).
With a different device, use 0BUB47Z (autologous tissue substitute) and 0BUB4JZ (synthetic 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
- BLower Lobe Bronchus, Left
- 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
- 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
Different body part
Different approach
Different device
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 04 · Diseases and Disorders of the Respiratory System · Major Chest Procedures
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
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 0BUB4KZ
Is 0BUB4KZ a valid ICD-10-PCS code for 2027?
- Yes. 0BUB4KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0BUB4KZ an O.R. procedure?
- Yes. 0BUB4KZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0BUB4KZ group to?
- Depending on the principal diagnosis, 0BUB4KZ can group to MS-DRG 163, MS-DRG 164 and MS-DRG 165.
What is the ICD-9 procedure code for 0BUB4KZ?
- The CMS GEMs map 0BUB4KZ to ICD-9-CM 33.48 (Other repair and plastic operations on bronchus).