0HR8XJ4Replacement of Buttock Skin with Synthetic Substitute, Partial Thickness, External Approach

  • Billable / Specific Code
ICD-10-PCS 0HR8XJ4
CMS Source: FY 2027 ICD-10-PCS dataset. Effective Oct 1, 2026 – Sep 30, 2027.FacebookXLinkedInPrint

0HR8XJ4 is a billable ICD-10-PCS procedure code for Replacement of Buttock Skin with Synthetic Substitute, Partial Thickness, External Approach. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to 28 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. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Skin graft.

Code Identity

ICD-10-PCS Code
0HR8XJ4
Billable Status
Yes — Valid for Submission
Code Describes
Replacement of Buttock Skin with Synthetic Substitute, Partial Thickness, External Approach
Short Description
Replace Buttock Skin w Synth Sub, Part Thick, Extern
Parent Code

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.

PositionDesignationValueMeaning
1Section0Medical and Surgical
2Body SystemHSkin and Breast
3OperationRReplacement
4BodyPart8Skin, Buttock
5ApproachXExternal
6DeviceJSynthetic Substitute
7Qualifier4Partial Thickness

In the ICD-10-PCS Alphabetic Index

These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:

Leads to this code's table
Leads to this code's table
Replacement, Skin, Buttock
Leads to this code's table
Leads to this code's table

To code replacement of the buttock skin, open the FY 2027 ICD-10-PCS Alphabetic Index at Replacement, then the subterms Skin, Buttock. The index leads to table 0HR, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 0HR8XJ4.

Browse the full ICD-10-PCS Alphabetic Index →

Clinical Classification (CCSR)

AHRQ groups this procedure code into these clinical categories.

SKB007
Skin graft
Clinical domain: Skin and Breast Procedures

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for this code under the General Equivalence Mappings.

86.67
Dermal regenerative graft
Approximate match.

Similar Procedure Codes

Questions About 0HR8XJ4

Is 0HR8XJ4 a billable code?

Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Replacement of Buttock Skin with Synthetic Substitute, Partial Thickness, External Approach on inpatient claims from October 1, 2026 through September 30, 2027.

What do the characters in 0HR8XJ4 mean?

The code breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character H is the Body System (Skin and Breast); the 3rd character R is the Operation (Replacement); the 4th character 8 is the BodyPart (Skin, Buttock); the 5th character X is the Approach (External); the 6th character J is the Device (Synthetic Substitute); the 7th character 4 is the Qualifier (Partial Thickness).

What MS-DRG does 0HR8XJ4 group to?

On an inpatient stay, Replacement of Buttock Skin with Synthetic Substitute, Partial Thickness, External Approach maps to MS-DRGs 040, 041, 042, 356, 357, 358, 361, 362, 463, 464, 465, 573, 574, 575, 576, 577, 578, 622, 623, 624, 904, 905, 927, 928, 929, 957, 958, 959, with relative weights from 1.3483 to 27.8336. The MS-DRG sets the fixed Medicare payment for the stay.

What is the ICD-9-PCS equivalent of 0HR8XJ4?

Under the General Equivalence Mappings, Replacement of Buttock Skin with Synthetic Substitute, Partial Thickness, External Approach crosswalks to ICD-9-PCS 86.67 (Dermal regenerative graft). The mapping is approximate, so confirm it fits the documentation.