ICD-10-PCS Code For Breast, Bilateral: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0HHV includes procedures performed to insert nonbiological appliances that monitor, assist, perform, or prevent physiological functions in the bilateral breasts. These ICD-10-PCS codes are used for inpatient documentation when a device is placed in both breasts to provide monitoring, assistance, or prevention of a physiological function. Accurate coding within the ICD-10-PCS 0HHV group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Breast, Bilateral Insertion Procedure Overview

The procedures in this group involve insertion of nonbiological appliances into both breasts and target the skin and breast body system. These procedures place devices that monitor, assist, perform, or prevent physiological functions without replacing breast tissue. Accurate ICD-10-PCS coding of these insertions ensures inpatient records reflect the exact device and approach used, which affects case mix and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
H	Body System	Skin and Breast
H	Operation	Insertion
V	Body Part	Breast, Bilateral

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ICD-10-PCS Code For Breast, Bilateral: Procedure Code Group Overview

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Breast, Bilateral Insertion Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
H	Body System	Skin and Breast
H	Operation	Insertion
V	Body Part	Breast, Bilateral

When to Use

Use a code from this group when a nonbiological device is placed in both breasts during an inpatient encounter to provide monitoring, assistance, performance, or prevention of a physiological function. Select codes that reflect the bilateral breast body part and the specific device and approach documented in the operative record.

ICD-10-PCS Codes

8 rows

ICD-10-PCS Code	Description
0HHV01Z	Insertion of Radioactive Element into Bilateral Breast, Open Approach
0HHV0NZ	Insertion of Tissue Expander into Bilateral Breast, Open Approach
0HHV31Z	Insertion of Radioactive Element into Bilateral Breast, Percutaneous Approach
0HHV3NZ	Insertion of Tissue Expander into Bilateral Breast, Percutaneous Approach
0HHV71Z	Insertion of Radioactive Element into Bilateral Breast, Via Natural or Artificial Opening
0HHV7NZ	Insertion of Tissue Expander into Bilateral Breast, Via Natural or Artificial Opening
0HHV81Z	Insertion of Radioactive Element into Bilateral Breast, Via Natural or Artificial Opening Endoscopic
0HHV8NZ	Insertion of Tissue Expander into Bilateral Breast, Via Natural or Artificial Opening Endoscopic

DRG Codes

14 rows

DRG Code	Description
579	Other Skin, Subcutaneous Tissue and Breast Procedures with MCC
580	Other Skin, Subcutaneous Tissue and Breast Procedures with CC
581	Other Skin, Subcutaneous Tissue and Breast Procedures without CC/MCC
584	Breast Biopsy, Local Excision and Other Breast Procedures with CC/MCC
585	Breast Biopsy, Local Excision and Other Breast Procedures without CC/MCC
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries without CC/MCC
957	Other O.R. Procedures for Multiple Significant Trauma with MCC
958	Other O.R. Procedures for Multiple Significant Trauma with CC

Showing 1–10 of 14

Typical Clinical Scenarios

A 48-year-old woman with bilateral mastectomy for high-risk breast cancer undergoes planned placement of temporary tissue expanders in both breasts to prepare the chest wall for later reconstruction. The devices are placed under direct visualization through the prior mastectomy incisions in an elective inpatient admission to monitor and gradually expand the skin envelope. A code reflecting open insertion of tissue expanders into both breasts is used to capture the procedure. Typical codes: 0HHV0NZ
A 62-year-old woman presents emergently with delayed wound breakdown and exposure of previous expanders after bilateral mastectomy with reconstruction; the surgical team performs open removal and immediate replacement with new tissue expanders in both breasts to maintain skin contour and ongoing expansion. Because the replacement devices are inserted into both breasts via open approach during the same inpatient operation, the code for open insertion of tissue expanders into bilateral breasts is appropriate. Typical codes: 0HHV0NZ
A 55-year-old patient with bilateral breast cancer undergoes percutaneous placement of radioactive seeds into both breasts for intraoperative localization and postoperative targeted therapy as part of an inpatient procedural plan. The procedure uses image guidance and needle-based percutaneous technique to place the nonbiological radioactive elements into both breasts without replacing tissue. The percutaneous insertion code for radioactive element placement into bilateral breasts aligns with this clinical scenario. Typical codes: 0HHV31Z

Related Codes

0HHP-SKIN-INSERTION

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

0HHT-BREAST-RIGHT-INSERTION

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

0HHU-BREAST-LEFT-INSERTION

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

0HHW-NIPPLE-RIGHT-INSERTION

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

0HHX-LEFT-NIPPLE-INSERTION

ICD-10-PCS Code For Left Nipple: 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

8 rows

ICD-10-PCS Code	Description
0HHV01Z	Insertion of Radioactive Element into Bilateral Breast, Open Approach
0HHV0NZ	Insertion of Tissue Expander into Bilateral Breast, Open Approach
0HHV31Z	Insertion of Radioactive Element into Bilateral Breast, Percutaneous Approach
0HHV3NZ	Insertion of Tissue Expander into Bilateral Breast, Percutaneous Approach
0HHV71Z	Insertion of Radioactive Element into Bilateral Breast, Via Natural or Artificial Opening
0HHV7NZ	Insertion of Tissue Expander into Bilateral Breast, Via Natural or Artificial Opening
0HHV81Z	Insertion of Radioactive Element into Bilateral Breast, Via Natural or Artificial Opening Endoscopic
0HHV8NZ	Insertion of Tissue Expander into Bilateral Breast, Via Natural or Artificial Opening Endoscopic

DRG Codes

14 rows

DRG Code	Description
579	Other Skin, Subcutaneous Tissue and Breast Procedures with MCC
580	Other Skin, Subcutaneous Tissue and Breast Procedures with CC
581	Other Skin, Subcutaneous Tissue and Breast Procedures without CC/MCC
584	Breast Biopsy, Local Excision and Other Breast Procedures with CC/MCC
585	Breast Biopsy, Local Excision and Other Breast Procedures without CC/MCC
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries without CC/MCC
957	Other O.R. Procedures for Multiple Significant Trauma with MCC
958	Other O.R. Procedures for Multiple Significant Trauma with CC

Showing 1–10 of 14

Typical Clinical Scenarios

A 48-year-old woman with bilateral mastectomy for high-risk breast cancer undergoes planned placement of temporary tissue expanders in both breasts to prepare the chest wall for later reconstruction. The devices are placed under direct visualization through the prior mastectomy incisions in an elective inpatient admission to monitor and gradually expand the skin envelope. A code reflecting open insertion of tissue expanders into both breasts is used to capture the procedure. Typical codes: 0HHV0NZ
A 62-year-old woman presents emergently with delayed wound breakdown and exposure of previous expanders after bilateral mastectomy with reconstruction; the surgical team performs open removal and immediate replacement with new tissue expanders in both breasts to maintain skin contour and ongoing expansion. Because the replacement devices are inserted into both breasts via open approach during the same inpatient operation, the code for open insertion of tissue expanders into bilateral breasts is appropriate. Typical codes: 0HHV0NZ
A 55-year-old patient with bilateral breast cancer undergoes percutaneous placement of radioactive seeds into both breasts for intraoperative localization and postoperative targeted therapy as part of an inpatient procedural plan. The procedure uses image guidance and needle-based percutaneous technique to place the nonbiological radioactive elements into both breasts without replacing tissue. The percutaneous insertion code for radioactive element placement into bilateral breasts aligns with this clinical scenario. Typical codes: 0HHV31Z

Related Codes

0HHP-SKIN-INSERTION

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

0HHT-BREAST-RIGHT-INSERTION

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

0HHU-BREAST-LEFT-INSERTION

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

0HHW-NIPPLE-RIGHT-INSERTION

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

0HHX-LEFT-NIPPLE-INSERTION

ICD-10-PCS Code For Left Nipple: 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 Breast, Bilateral: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Breast, Bilateral: Procedure Code Group Overview policy alerts

Breast, Bilateral Insertion Procedure Overview

Code Attributes

ICD-10-PCS Code For Breast, Bilateral: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Breast, Bilateral: Procedure Code Group Overview policy alerts

Breast, Bilateral Insertion Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation do the ICD-10-PCS codes in this group represent?

What is the scope of devices captured by codes like `0HHV0NZ` and `0HHV3NZ`?

How does approach affect code selection within the 0HHV group?

Which DRGs are related to procedures in the 0HHV Breast, Bilateral group?

What clinical documentation aspects are emphasized for accurate coding of 0HHV procedures?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation do the ICD-10-PCS codes in this group represent?

What is the scope of devices captured by codes like `0HHV0NZ` and `0HHV3NZ`?

How does approach affect code selection within the 0HHV group?

Which DRGs are related to procedures in the 0HHV Breast, Bilateral group?

What clinical documentation aspects are emphasized for accurate coding of 0HHV procedures?

References