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ICD-10-PCS 2027 procedure code

0HRT0JZReplacement of Right Breast with Synthetic Substitute, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Replacement of Right Breast with Synth Sub, Open Approach

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 0HRT0JZ

0HRT0JZ is the ICD-10-PCS code for a replacement procedure on the right breast using an open approach with synthetic 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 unilateral subcutaneous mammectomy with synchronous implant, unilateral breast implant, total reconstruction of breast, not otherwise specified and 1 more, the ICD-9-CM procedure titles it maps to (85.33, 85.53, 85.70 and 1 more).

For a different body part, codes include 0HRU0JZ (left breast), 0HRV0JZ (bilateral breast), 0HRW0JZ (right nipple) and 0HRX0JZ (left nipple).

The same procedure with a different approach is coded 0HRT3JZ (percutaneous).

With a different device, use 0HRT07Z (autologous tissue substitute) and 0HRT0KZ (nonautologous tissue substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 582 (Mastectomy for Malignancy with CC/MCC), DRG 583 (Mastectomy for Malignancy without CC/MCC), DRG 584 (Breast Biopsy, Local Excision and Other Breast Procedures with CC/MCC), DRG 585 (Breast Biopsy, Local Excision and Other Breast Procedures without CC/MCC), DRG 907 (Other O.R. Procedures for Injuries with MCC) and DRG 908 (Other O.R. Procedures for Injuries with CC), under the surgical categories “Mastectomy for Malignancy”, “Breast Biopsy, Local Excision and Other Breast Procedures”, “Other O.R. Procedures for Injuries” and 1 more.

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
HSkin and Breast
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
TBreast, Right
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

Different approach

MS-DRG v44.0 grouping

All DRGs →

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

MDC 09 · Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast · Mastectomy for Malignancy

MDC 09 · Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast · Breast Biopsy, Local Excision and Other Breast Procedures

ICD-9-CM equivalent

Converter →
  • 85.33Unilateral subcutaneous mammectomy with synchronous implantapproximate
  • 85.53Unilateral breast implantapproximate
  • 85.70Total reconstruction of breast, not otherwise specifiedapproximate
  • 85.79Other total reconstruction of breastapproximate

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 0HRT0JZ

Is 0HRT0JZ a valid ICD-10-PCS code for 2027?

Yes. 0HRT0JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0HRT0JZ an O.R. procedure?

Yes. 0HRT0JZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0HRT0JZ group to?

Depending on the principal diagnosis, 0HRT0JZ can group to MS-DRG 582, MS-DRG 583, MS-DRG 584, MS-DRG 585, MS-DRG 907 and MS-DRG 908.

What is the ICD-9 procedure code for 0HRT0JZ?

The CMS GEMs map 0HRT0JZ to ICD-9-CM 85.33 (Unilateral subcutaneous mammectomy with synchronous implant), 85.53 (Unilateral breast implant), 85.70 (Total reconstruction of breast, not otherwise specified) and 1 more.