ICD-10-PCS Code For Trachea: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0B11 includes procedures performed to bypass structures in the trachea. These ICD-10-PCS codes are used for inpatient documentation when an alternate airway route is surgically created to circumvent obstruction or damaged tracheal segments. Accurate coding within the ICD-10-PCS 0B11 group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Trachea Bypass Procedure Overview

Procedures in this group involve creating an alternative route for airflow by bypassing an obstructed or diseased segment of the trachea. They target the respiratory system and may include surgical creation of conduits or anastomoses to restore ventilation. Accurate ICD-10-PCS coding for these procedures is important for inpatient reimbursement because it captures the specific bypass operation performed and supports appropriate case mix assignment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
B	Body System	Respiratory System
1	Operation	Bypass
1	Body Part	Trachea

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ICD-10-PCS Code For Trachea: Procedure Code Group Overview

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Trachea Bypass Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
B	Body System	Respiratory System
1	Operation	Bypass
1	Body Part	Trachea

When to Use

Use a code from this group when a surgical bypass of the trachea is performed to establish or restore an airway around an area of obstruction or injury. Select the code that reflects the exact bypass procedure and tracheal location documented in the operative record.

ICD-10-PCS Codes

8 rows

ICD-10-PCS Code	Description
0B110D6	Bypass Trachea to Esophagus with Intraluminal Device, Open Approach
0B110F4	Bypass Trachea to Cutaneous with Tracheostomy Device, Open Approach
0B110Z4	Bypass Trachea to Cutaneous, Open Approach
0B113F4	Bypass Trachea to Cutaneous with Tracheostomy Device, Percutaneous Approach
0B113Z4	Bypass Trachea to Cutaneous, Percutaneous Approach
0B114F4	Bypass Trachea to Cutaneous with Tracheostomy Device, Percutaneous Endoscopic Approach
0B114Z4	Bypass Trachea to Cutaneous, Percutaneous Endoscopic Approach
0B118D6	Bypass Trachea to Esophagus with Intraluminal Device, Via Natural or Artificial Opening Endoscopic

DRG Codes

5 rows

DRG Code	Description
003	ECMO or Tracheostomy with MV >96 Hours or Principal Diagnosis Except Face, Mouth and Neck with Major O.R. Procedures
004	Tracheostomy with MV >96 Hours or Principal Diagnosis Except Face, Mouth and Neck without Major O.R. Procedures
011	Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with MCC
012	Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with CC
013	Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy without CC/MCC

Typical Clinical Scenarios

An adult patient presents to the emergency department with acute airway obstruction from traumatic tracheal crush injury with segmental collapse and inability to ventilate despite intubation attempts. The surgical team performs an open surgical creation of an alternative airway conduit that diverts airflow around the damaged tracheal segment to restore ventilation. Coding reflects an open bypass procedure of the trachea to a cutaneous airway or to the esophagus as documented in the operative note. Typical codes: 0B110D6, 0B110Z4
A patient with a history of long-segment tracheal stenosis scheduled for a planned operative bypass to establish a stable airway after failed endoscopic dilation. The surgeon elects a percutaneous or percutaneous endoscopic approach to create a bypass to the skin with placement of a tracheostomy device to secure a long-term airway. Codes selected mirror the documented approach and whether a tracheostomy device was placed. Typical codes: 0B113F4, 0B114F4
A patient admitted because of failure of a prior tracheostomy with erosion and persistent air leak requiring revision and re-establishment of an alternate airway. The procedure entails percutaneous re-bypass or conversion of the existing tract and may be performed percutaneously or via percutaneous endoscopic technique without device placement if the device was removed, as described in the operative report. Typical codes: 0B113Z4, 0B114Z4

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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When to Use

ICD-10-PCS Codes

8 rows

ICD-10-PCS Code	Description
0B110D6	Bypass Trachea to Esophagus with Intraluminal Device, Open Approach
0B110F4	Bypass Trachea to Cutaneous with Tracheostomy Device, Open Approach
0B110Z4	Bypass Trachea to Cutaneous, Open Approach
0B113F4	Bypass Trachea to Cutaneous with Tracheostomy Device, Percutaneous Approach
0B113Z4	Bypass Trachea to Cutaneous, Percutaneous Approach
0B114F4	Bypass Trachea to Cutaneous with Tracheostomy Device, Percutaneous Endoscopic Approach
0B114Z4	Bypass Trachea to Cutaneous, Percutaneous Endoscopic Approach
0B118D6	Bypass Trachea to Esophagus with Intraluminal Device, Via Natural or Artificial Opening Endoscopic

DRG Codes

5 rows

DRG Code	Description
003	ECMO or Tracheostomy with MV >96 Hours or Principal Diagnosis Except Face, Mouth and Neck with Major O.R. Procedures
004	Tracheostomy with MV >96 Hours or Principal Diagnosis Except Face, Mouth and Neck without Major O.R. Procedures
011	Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with MCC
012	Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with CC
013	Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy without CC/MCC

Typical Clinical Scenarios

An adult patient presents to the emergency department with acute airway obstruction from traumatic tracheal crush injury with segmental collapse and inability to ventilate despite intubation attempts. The surgical team performs an open surgical creation of an alternative airway conduit that diverts airflow around the damaged tracheal segment to restore ventilation. Coding reflects an open bypass procedure of the trachea to a cutaneous airway or to the esophagus as documented in the operative note. Typical codes: 0B110D6, 0B110Z4
A patient with a history of long-segment tracheal stenosis scheduled for a planned operative bypass to establish a stable airway after failed endoscopic dilation. The surgeon elects a percutaneous or percutaneous endoscopic approach to create a bypass to the skin with placement of a tracheostomy device to secure a long-term airway. Codes selected mirror the documented approach and whether a tracheostomy device was placed. Typical codes: 0B113F4, 0B114F4
A patient admitted because of failure of a prior tracheostomy with erosion and persistent air leak requiring revision and re-establishment of an alternate airway. The procedure entails percutaneous re-bypass or conversion of the existing tract and may be performed percutaneously or via percutaneous endoscopic technique without device placement if the device was removed, as described in the operative report. Typical codes: 0B113Z4, 0B114Z4

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-PCS Code For Trachea: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Trachea: Procedure Code Group Overview policy alerts

Trachea Bypass Procedure Overview

Code Attributes

ICD-10-PCS Code For Trachea: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Trachea: Procedure Code Group Overview policy alerts

Trachea Bypass Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Which ICD-10-PCS code group covers procedures that bypass the trachea?

What body system and operation are represented by the 0B11 code group?

Which specific codes in 0B11 indicate a trachea-to-cutaneous bypass performed via percutaneous endoscopic approach?

How does coding within 0B11 impact inpatient reimbursement and case mix?

Which DRGs are related to tracheostomy or trachea bypass procedures listed in the 0B11 group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Which ICD-10-PCS code group covers procedures that bypass the trachea?

What body system and operation are represented by the 0B11 code group?

Which specific codes in 0B11 indicate a trachea-to-cutaneous bypass performed via percutaneous endoscopic approach?

How does coding within 0B11 impact inpatient reimbursement and case mix?

Which DRGs are related to tracheostomy or trachea bypass procedures listed in the 0B11 group?

References