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 0B21 includes procedures performed to change devices in the trachea. These ICD-10-PCS codes are used for inpatient documentation when an identical or similar device is taken out from the trachea and replaced without cutting or puncturing the skin or a mucous membrane. Accurate coding within the ICD-10-PCS 0B21 group is essential for proper inpatient reimbursement, as it captures the device management performed and supports clinical documentation accuracy.

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Trachea Change Procedure Overview

Procedures in this ICD-10-PCS group involve changing an existing device in or on the trachea without cutting or puncturing the skin or a mucous membrane and target the respiratory system. These changes typically replace an identical or similar device in the same tracheal location and are performed at the bedside or in procedure areas. Accurate coding of these operations supports correct inpatient reimbursement by reflecting the specific device management performed and ensuring clinical documentation aligns with the coded procedure.

Code Attributes

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

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

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Trachea 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
1	Body Part	Trachea

When to Use

Use codes from this group when an existing tracheal device is removed and an identical or similar device is reinserted in the same tracheal site without an incision or puncture of skin or mucous membrane. These codes apply to inpatient documentation when the procedure is performed to maintain, replace, or restore device function within the trachea.

ICD-10-PCS Codes

4 rows

ICD-10-PCS Code	Description
0B21X0Z	Change Drainage Device in Trachea, External Approach
0B21XEZ	Change Endotracheal Airway in Trachea, External Approach
0B21XFZ	Change Tracheostomy Device in Trachea, External Approach
0B21XYZ	Change Other Device in Trachea, External Approach

Typical Clinical Scenarios

An adult patient in the intensive care unit with acute respiratory failure who is mechanically ventilated via an endotracheal tube develops a cuff leak and impaired ventilation. The patient requires bedside replacement of the malfunctioning endotracheal airway with an identical device to restore effective ventilation without creating any new incision or puncture. Typical codes: 0B21XEZ
A long-term care resident with an established tracheostomy presents for scheduled inpatient care to exchange a clogged tracheostomy tube as part of device maintenance and airway hygiene; the exchange is performed at the bedside without cutting or puncturing mucosa. The procedure is done to maintain airway patency and prevent respiratory compromise while preserving the existing tracheostomy site. Typical codes: 0B21XFZ
A hospitalized patient with a tracheal drainage catheter in place after tracheal surgery develops device malfunction with persistent drainage failure and local contamination; the team removes the malfunctioning drainage device and replaces it with a similar external drainage device at the bedside to restore function and reduce infection risk. Typical codes: 0B21X0Z, 0B21XYZ

Related Codes

0B20-TRACHEOBRONCHIAL-TREE-CHANGE

ICD-10-PCS Code For Tracheobronchial Tree: 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

4 rows

ICD-10-PCS Code	Description
0B21X0Z	Change Drainage Device in Trachea, External Approach
0B21XEZ	Change Endotracheal Airway in Trachea, External Approach
0B21XFZ	Change Tracheostomy Device in Trachea, External Approach
0B21XYZ	Change Other Device in Trachea, External Approach

Typical Clinical Scenarios

An adult patient in the intensive care unit with acute respiratory failure who is mechanically ventilated via an endotracheal tube develops a cuff leak and impaired ventilation. The patient requires bedside replacement of the malfunctioning endotracheal airway with an identical device to restore effective ventilation without creating any new incision or puncture. Typical codes: 0B21XEZ
A long-term care resident with an established tracheostomy presents for scheduled inpatient care to exchange a clogged tracheostomy tube as part of device maintenance and airway hygiene; the exchange is performed at the bedside without cutting or puncturing mucosa. The procedure is done to maintain airway patency and prevent respiratory compromise while preserving the existing tracheostomy site. Typical codes: 0B21XFZ
A hospitalized patient with a tracheal drainage catheter in place after tracheal surgery develops device malfunction with persistent drainage failure and local contamination; the team removes the malfunctioning drainage device and replaces it with a similar external drainage device at the bedside to restore function and reduce infection risk. Typical codes: 0B21X0Z, 0B21XYZ

Related Codes

0B20-TRACHEOBRONCHIAL-TREE-CHANGE

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

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

Trachea Change 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 Change Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

What procedures are included in ICD-10-PCS code group 0B21?

When should a procedure from 0B21 be coded for inpatient documentation?

What are the specific ICD-10-PCS codes listed in this trachea change group?

What section, body system, operation, and body part attributes define this code group?

How does accurate coding in 0B21 support reimbursement and documentation?

References

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

What procedures are included in ICD-10-PCS code group 0B21?

When should a procedure from 0B21 be coded for inpatient documentation?

What are the specific ICD-10-PCS codes listed in this trachea change group?

What section, body system, operation, and body part attributes define this code group?

How does accurate coding in 0B21 support reimbursement and documentation?

References