0CR0XJZReplacement of Upper Lip with Synthetic Substitute, External Approach
- Billable / Specific Code
0CR0XJZ is a billable ICD-10-PCS procedure code for Replacement of Upper Lip with Synthetic Substitute, External Approach. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to 11 MS-DRGs. The root operation Replacement involves putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part.
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 | R | Replacement |
| 4 | BodyPart | 0 | Upper Lip |
| 5 | Approach | X | External |
| 6 | Device | J | Synthetic Substitute |
| 7 | Qualifier | Z | No Qualifier |
Convert to ICD-9-PCS
Closest ICD-9-PCS equivalents for 0CR0XJZ under the General Equivalence Mappings.
Similar Procedure Codes
Questions About 0CR0XJZ
Is 0CR0XJZ a billable code?
Yes. 0CR0XJZ is a complete seven-character ICD-10-PCS code, specific enough to report Replacement of Upper Lip with Synthetic Substitute, External Approach on inpatient claims from October 1, 2025 through September 30, 2026.
What do the characters in 0CR0XJZ mean?
0CR0XJZ 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 R is the Operation (Replacement); the 4th character 0 is the BodyPart (Upper Lip); the 5th character X is the Approach (External); the 6th character J is the Device (Synthetic Substitute); the 7th character Z is the Qualifier (No Qualifier).
What MS-DRG does 0CR0XJZ group to?
On an inpatient stay, Replacement of Upper Lip with Synthetic Substitute, External Approach maps to MS-DRGs 137, 138, 579, 580, 581, 907, 908, 909, 957, 958, 959, with relative weights from 0.8862 to 7.6199. The MS-DRG sets the fixed Medicare payment for the stay.
What is the ICD-9-PCS equivalent of 0CR0XJZ?
Under the General Equivalence Mappings, Replacement of Upper Lip with Synthetic Substitute, External Approach crosswalks to ICD-9-PCS 27.59. The mapping is approximate, so confirm it fits the documentation.
