Skip to content
Dx

ICD-10-PCS 2027 procedure code

0H0T0JZAlteration of Right Breast with Synthetic Substitute, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Alteration 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 0H0T0JZ

0H0T0JZ is the ICD-10-PCS code for a alteration procedure on the right breast using an open approach with synthetic substitute. In ICD-10-PCS, alteration means modifying the anatomic structure of a body part without affecting the function of the body part.

In plain terms, this corresponds to unilateral breast implant, the ICD-9-CM procedure title it maps to (85.53).

For a different body part, codes include 0H0U0JZ (left breast) and 0H0V0JZ (bilateral breast).

The same procedure with a different approach is coded 0H0T3JZ (percutaneous).

With a different device, use 0H0T07Z (autologous tissue substitute), 0H0T0KZ (nonautologous tissue substitute) and 0H0T0ZZ (no device).

It is an operating-room procedure in the MS-DRG logic for DRG 584 (Breast Biopsy, Local Excision and Other Breast Procedures with CC/MCC) and DRG 585 (Breast Biopsy, Local Excision and Other Breast Procedures without CC/MCC), under the surgical category “Breast Biopsy, Local Excision and Other Breast 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
HSkin and Breast
3. Operation
0Alteration

Modifying the anatomic structure of a body part without affecting the function of the body part

Principal purpose is to improve appearance

Includes: Face lift, breast augmentation

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 · Breast Biopsy, Local Excision and Other Breast Procedures

ICD-9-CM equivalent

Converter →
  • 85.53Unilateral breast implantapproximate

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 0H0T0JZ

Is 0H0T0JZ a valid ICD-10-PCS code for 2027?

Yes. 0H0T0JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0H0T0JZ an O.R. procedure?

Yes. 0H0T0JZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0H0T0JZ group to?

Depending on the principal diagnosis, 0H0T0JZ can group to MS-DRG 584 and MS-DRG 585.

What is the ICD-9 procedure code for 0H0T0JZ?

The CMS GEMs map 0H0T0JZ to ICD-9-CM 85.53 (Unilateral breast implant).