Skip to content
Dx

ICD-10-PCS 2027 procedure code

0HRU078Replacement of Left Breast using Superficial Inferior Epigastric Artery Flap, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Replacement of Left Breast using SIEA Flap, 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 0HRU078

0HRU078 is the ICD-10-PCS code for a replacement procedure on the left breast using an open approach with autologous tissue substitute (qualifier: superficial inferior epigastric artery flap). 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 superficial inferior epigastric artery (SIEA) flap, free, the ICD-9-CM procedure title it maps to (85.75).

For a different body part, codes include 0HRT078 (right breast) and 0HRV078 (bilateral breast).

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
UBreast, Left
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
7Autologous Tissue Substitute

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

7. Qualifier
8Superficial Inferior Epigastric Artery Flap

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.

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 →
  • 85.75Superficial inferior epigastric artery (SIEA) flap, freeapproximate

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 0HRU078

Is 0HRU078 a valid ICD-10-PCS code for 2027?

Yes. 0HRU078 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0HRU078 an O.R. procedure?

Yes. 0HRU078 is an O.R. procedure in MS-DRG v44.0.

What DRG does 0HRU078 group to?

Depending on the principal diagnosis, 0HRU078 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 0HRU078?

The CMS GEMs map 0HRU078 to ICD-9-CM 85.75 (Superficial inferior epigastric artery (SIEA) flap, free).