0C00X7ZAlteration of Upper Lip with Autologous Tissue Substitute, External Approach
- Billable / Specific Code
0C00X7Z is a billable ICD-10-PCS procedure code for Alteration of Upper Lip with Autologous Tissue Substitute, External Approach. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to 11 MS-DRGs. The root operation Alteration involves modifying the anatomic structure of a body part without affecting the function of the body part. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Cosmetic procedures.
Code Identity
PCS Table Breakdown
Each ICD-10-PCS code is built from seven characters, each an axis of the procedure. Hover or tap the icons for the official CMS definitions.
| Position | Designation | Value | Meaning |
|---|---|---|---|
| 1 | Section | 0 | Medical and Surgical |
| 2 | Body System | C | Mouth and Throat |
| 3 | Operation | 0 | Alteration |
| 4 | BodyPart | 0 | Upper Lip |
| 5 | Approach | X | External |
| 6 | Device | 7 | Autologous Tissue Substitute |
| 7 | Qualifier | Z | No Qualifier |
In the ICD-10-PCS Alphabetic Index
These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:
To code alteration of the upper lip, open the FY 2027 ICD-10-PCS Alphabetic Index at Alteration, then the subterms Lip, Upper. The index leads to table 0C0, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 0C00X7Z.
Clinical Classification (CCSR)
AHRQ groups this procedure code into these clinical categories.
Convert to ICD-9-PCS
Closest ICD-9-PCS equivalents for this code under the General Equivalence Mappings.
Similar Procedure Codes
Questions About 0C00X7Z
Is 0C00X7Z a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Alteration of Upper Lip with Autologous Tissue Substitute, External Approach on inpatient claims from October 1, 2026 through September 30, 2027.
What do the characters in 0C00X7Z mean?
The code breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character C is the Body System (Mouth and Throat); the 3rd character 0 is the Operation (Alteration); the 4th character 0 is the BodyPart (Upper Lip); the 5th character X is the Approach (External); the 6th character 7 is the Device (Autologous Tissue Substitute); the 7th character Z is the Qualifier (No Qualifier).
What MS-DRG does 0C00X7Z group to?
On an inpatient stay, Alteration of Upper Lip with Autologous Tissue Substitute, External Approach maps to MS-DRGs 137, 138, 579, 580, 581, 907, 908, 909, 957, 958, 959, with relative weights from 0.9184 to 7.5502. The MS-DRG sets the fixed Medicare payment for the stay.
What is the ICD-9-PCS equivalent of 0C00X7Z?
Under the General Equivalence Mappings, Alteration of Upper Lip with Autologous Tissue Substitute, External Approach crosswalks to ICD-9-PCS 27.59 (Other plastic repair of mouth). The mapping is approximate, so confirm it fits the documentation.
