ICD-10-PCS Code For Tracheobronchial Tree: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0B20 includes procedures performed to change devices in the tracheobronchial tree. These ICD-10-PCS codes are used for inpatient documentation when a device in the airway is removed and an identical or similar device is reinserted without cutting or puncturing the skin or mucous membranes. Accurate coding within the ICD-10-PCS 0B20 group is essential for proper inpatient reimbursement, as it captures the specific procedure performed and supports clinical documentation accuracy.

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Tracheobronchial Tree Change Procedure Overview

This procedure group includes inpatient procedures that remove or replace a tracheobronchial device without cutting or puncturing skin or mucous membranes and targets the respiratory system. Procedures involve taking out or off a device from the tracheobronchial tree and putting back an identical or similar device in or on the same anatomical site. Accurate coding ensures the procedure is captured correctly for inpatient reimbursement and reflects the clinical care provided.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
B	Body System	Respiratory System
2	Operation	Change
0	Body Part	Tracheobronchial Tree

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ICD-10-PCS Code For Tracheobronchial Tree: Procedure Code Group Overview

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Tracheobronchial Tree Change Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
B	Body System	Respiratory System
2	Operation	Change
0	Body Part	Tracheobronchial Tree

When to Use

Use a code from this group when an airway device in the tracheobronchial tree is removed and an identical or similar device is reinserted during the same encounter without surgical incision or puncture. Do not use these codes for initial device insertions, device removals without replacement, or exchanges that require opening the skin or mucous membrane.

ICD-10-PCS Codes

2 rows

ICD-10-PCS Code	Description
0B20X0Z	Change Drainage Device in Tracheobronchial Tree, External Approach
0B20XYZ	Change Other Device in Tracheobronchial Tree, External Approach

Typical Clinical Scenarios

An intensive care patient with prolonged mechanical ventilation develops an occluded endotracheal tube from thick secretions and needs urgent bedside exchange to restore airway patency; the team removes the blocked tube and replaces it with an identical or similar tracheal airway device via the mouth without surgical incision. Typical codes: 0B20X0Z
An elective inpatient admission for planned replacement of a tracheostomy tube due to routine maintenance and cuff deterioration; the existing tracheostomy tube is taken out and an identical or similar tube is reinserted through the stoma without cutting the skin. Typical codes: 0B20X0Z, 0B20XYZ
A patient develops malposition of a bronchial blocker placed for single‑lung ventilation after thoracic surgery; under bronchoscopic guidance the blocker is removed and an equivalent device is repositioned or replaced via the airway to reestablish lung isolation without puncturing mucosa. Typical codes: 0B20XYZ

Related Codes

0B21-TRACHEA-REVISION-TRACHEA-CHANGE

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

0B2K-LUNG-RIGHT-CHANGE

ICD-10-PCS Code For Lung Right: Procedure Code Group Overview

0B2L-LEFT-LUNG-CHANGE

ICD-10-PCS Code For Left Lung: Procedure Code Group Overview

0B2Q-PLEURA-CHANGE

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

0B2T-DIAPHRAGM-CHANGE

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

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

2 rows

ICD-10-PCS Code	Description
0B20X0Z	Change Drainage Device in Tracheobronchial Tree, External Approach
0B20XYZ	Change Other Device in Tracheobronchial Tree, External Approach

Typical Clinical Scenarios

An intensive care patient with prolonged mechanical ventilation develops an occluded endotracheal tube from thick secretions and needs urgent bedside exchange to restore airway patency; the team removes the blocked tube and replaces it with an identical or similar tracheal airway device via the mouth without surgical incision. Typical codes: 0B20X0Z
An elective inpatient admission for planned replacement of a tracheostomy tube due to routine maintenance and cuff deterioration; the existing tracheostomy tube is taken out and an identical or similar tube is reinserted through the stoma without cutting the skin. Typical codes: 0B20X0Z, 0B20XYZ
A patient develops malposition of a bronchial blocker placed for single‑lung ventilation after thoracic surgery; under bronchoscopic guidance the blocker is removed and an equivalent device is repositioned or replaced via the airway to reestablish lung isolation without puncturing mucosa. Typical codes: 0B20XYZ

Related Codes

0B21-TRACHEA-REVISION-TRACHEA-CHANGE

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

0B2K-LUNG-RIGHT-CHANGE

ICD-10-PCS Code For Lung Right: Procedure Code Group Overview

0B2L-LEFT-LUNG-CHANGE

ICD-10-PCS Code For Left Lung: Procedure Code Group Overview

0B2Q-PLEURA-CHANGE

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

0B2T-DIAPHRAGM-CHANGE

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

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 Tracheobronchial Tree: Procedure Code Group Overview

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Tracheobronchial Tree Change Procedure Overview

Code Attributes

ICD-10-PCS Code For Tracheobronchial Tree: Procedure Code Group Overview

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

Tracheobronchial Tree Change Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in ICD-10-PCS code group 0B20?

What is the primary purpose of using codes in the 0B20 group?

What are the section, body system, operation, and body part attributes for this code group?

Which specific ICD-10-PCS codes are listed under this group?

When should a device change be coded to 0B20 rather than another procedure group?

References

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in ICD-10-PCS code group 0B20?

What is the primary purpose of using codes in the 0B20 group?

What are the section, body system, operation, and body part attributes for this code group?

Which specific ICD-10-PCS codes are listed under this group?

When should a device change be coded to 0B20 rather than another procedure group?

References