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ICD-10-PCS/0BR/0BRB4JZ
Inpatient Procedure Code

0BRB4JZ

Replacement of Left Lower Lobe Bronchus with Synthetic Substitute, Percutaneous Endoscopic Approach

Replace L Low Lobe Bronc w Synth Sub, Perc Endo

Axis Breakdown

Every ICD-10-PCS code is exactly seven characters, one per axis. Each character's meaning is defined by its position in the code.

PositionValueMeaning
1
Section0

Medical and Surgical

2
Body SystemB

Respiratory System

3
Root OperationR

Replacement

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

4
Body PartB

Lower Lobe Bronchus, Left

5
Approach4

Percutaneous Endoscopic

6
DeviceJ

Synthetic Substitute

7
QualifierZ

No Qualifier

Potential MS-DRG Relationships (FY2026)

The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 9 MS-DRGs:

From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.

Contextual Map

Every relationship of 0BRB4JZ in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

PCS table

  • 0BR[PCS table]
  • [object Object] — Section: [object Object] [Section]: “[object Object]”
  • [object Object] — Body System: [object Object] [Body System]: “[object Object]”
  • [object Object] — Operation: [object Object] [Operation]: “[object Object]”

MS-DRG participation (9)

  • DRG 163 — MAJOR CHEST PROCEDURES WITH MCC [MS-DRG]: “MAJOR CHEST PROCEDURES WITH MCC — Major Chest Procedures (MDC 04)”
  • DRG 164 — MAJOR CHEST PROCEDURES WITH CC [MS-DRG]: “MAJOR CHEST PROCEDURES WITH CC — Major Chest Procedures (MDC 04)”
  • DRG 165 — MAJOR CHEST PROCEDURES WITHOUT CC/MCC [MS-DRG]: “MAJOR CHEST PROCEDURES WITHOUT CC/MCC — Major Chest Procedures (MDC 04)”
  • DRG 907 — OTHER O.R. PROCEDURES FOR INJURIES WITH MCC [MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH MCC — Other O.R. Procedures for Injuries (MDC 21)”
  • DRG 908 — OTHER O.R. PROCEDURES FOR INJURIES WITH CC [MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH CC — Other O.R. Procedures for Injuries (MDC 21)”
  • DRG 909 — OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC [MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC — Other O.R. Procedures for Injuries (MDC 21)”
  • DRG 957 — OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC [MS-DRG]: “OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC — Other O.R. Procedures for Multiple Significant Trauma (MDC 24)”
  • DRG 958 — OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC [MS-DRG]: “OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC — Other O.R. Procedures for Multiple Significant Trauma (MDC 24)”
  • and 1 more

Nearest codes

  • 0BR14JZ — Replacement of Trachea with Synthetic Substitute, Percutaneous Endoscopic Approach [One axis away]
  • 0BR24JZ — Replacement of Carina with Synthetic Substitute, Percutaneous Endoscopic Approach [One axis away]
  • 0BR34JZ — Replacement of Right Main Bronchus with Synthetic Substitute, Percutaneous Endoscopic Approach [One axis away]
  • 0BR44JZ — Replacement of Right Upper Lobe Bronchus with Synthetic Substitute, Percutaneous Endoscopic Approach [One axis away]
  • 0BR54JZ — Replacement of Right Middle Lobe Bronchus with Synthetic Substitute, Percutaneous Endoscopic Approach [One axis away]
  • 0BR64JZ — Replacement of Right Lower Lobe Bronchus with Synthetic Substitute, Percutaneous Endoscopic Approach [One axis away]
  • 0BR74JZ — Replacement of Left Main Bronchus with Synthetic Substitute, Percutaneous Endoscopic Approach [One axis away]
  • 0BR84JZ — Replacement of Left Upper Lobe Bronchus with Synthetic Substitute, Percutaneous Endoscopic Approach [One axis away]

Change history

No changes recorded for this code — unchanged since the FY2026 (April) baseline of the change ledger.