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ICD-10-PCS 2027 procedure code

0BUT0JZSupplement Diaphragm with Synthetic Substitute, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Supplement Diaphragm with Synth 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 0BUT0JZ

0BUT0JZ is the ICD-10-PCS code for a supplement procedure on the diaphragm using an open approach with synthetic 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 and open repair of diaphragmatic hernia, abdominal approach, the ICD-9-CM procedure title it maps to (53.72).

For a different body part, codes include 0BU10JZ (trachea), 0BU20JZ (carina), 0BU30JZ (right main bronchus), 0BU40JZ (right upper lobe bronchus), 0BU50JZ (right middle lobe bronchus), 0BU60JZ (right lower lobe bronchus) and 4 more.

The same procedure with a different approach is coded 0BUT4JZ (percutaneous endoscopic).

With a different device, use 0BUT07Z (autologous tissue substitute) and 0BUT0KZ (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), DRG 165 (Major Chest Procedures without CC/MCC), DRG 326 (Stomach, Esophageal and Duodenal Procedures with MCC), DRG 327 (Stomach, Esophageal and Duodenal Procedures with CC) and DRG 328 (Stomach, Esophageal and Duodenal Procedures without CC/MCC), under the surgical categories “Major Chest Procedures”, “Stomach, Esophageal and Duodenal 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
TDiaphragm
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
JSynthetic Substitute

Includes: AbioCor(R) Total Replacement Heart; AMPLATZER(R) Muscular VSD Occluder; Annuloplasty ring; Bard(R) Composix(R) (E/X)(LP) mesh; Bard(R) Composix(R) Kugel(R) patch; Bard(R) Dulex(tm) mesh; Bard(R) Ventralex(tm) hernia patch; Barricaid(R) Annular Closure Device (ACD); BRYAN(R) Cervical Disc System; Corvia IASD(R); Ex-PRESS(tm) mini glaucoma shunt; Flexible Composite Mesh; GORE(R) ACUSEAL Vascular Graft; GORE(R) CARDIOFORM Septal Occluder; GORE(R) DUALMESH(R); GORE(R) PROPATEN(R) Vascular Graft; GORE(R) VIATORR(R) TIPS Endoprosthesis; Holter valve ventricular shunt; IASD(R) (InterAtrial Shunt Device), Corvia; InterAtrial Shunt Device IASD(R), Corvia; LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System; MitraClip valve repair system; Nitinol framed polymer mesh; Open Pivot (mechanical) valve; Open Pivot Aortic Valve Graft (AVG); Partially absorbable mesh; PHYSIOMESH(tm) Flexible Composite Mesh; Polymethylmethacrylate (PMMA); Polypropylene mesh; PRESTIGE(R) Cervical Disc; PROCEED(tm) Ventral Patch; Prodisc-C; Prodisc-L; PROLENE Polypropylene Hernia System (PHS); Rebound HRD(R) (Hernia Repair Device); SynCardia Total Artificial Heart; Total artificial (replacement) heart; ULTRAPRO Hernia System (UHS); ULTRAPRO Partially Absorbable Lightweight Mesh; ULTRAPRO Plug; V-Wave Interatrial Shunt System; Ventrio(tm) Hernia Patch; Zimmer(R) NexGen(R) LPS Mobile Bearing Knee; Zimmer(R) NexGen(R) LPS-Flex Mobile Knee

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 →
  • 53.72Other and open repair of diaphragmatic hernia, abdominal approachapproximate

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 0BUT0JZ

Is 0BUT0JZ a valid ICD-10-PCS code for 2027?

Yes. 0BUT0JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0BUT0JZ an O.R. procedure?

Yes. 0BUT0JZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0BUT0JZ group to?

Depending on the principal diagnosis, 0BUT0JZ can group to MS-DRG 163, MS-DRG 164, MS-DRG 165, MS-DRG 326, MS-DRG 327 and MS-DRG 328.

What is the ICD-9 procedure code for 0BUT0JZ?

The CMS GEMs map 0BUT0JZ to ICD-9-CM 53.72 (Other and open repair of diaphragmatic hernia, abdominal approach).