0HRDXK4Replacement of Right Lower Arm Skin with Nonautologous Tissue Substitute, Partial Thickness, External Approach
- Billable / Specific Code
0HRDXK4 is a billable ICD-10-PCS procedure code for Replacement of Right Lower Arm Skin with Nonautologous Tissue 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 22 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
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 | H | Skin and Breast |
| 3 | Operation | R | Replacement |
| 4 | BodyPart | D | Skin, Right Lower Arm |
| 5 | Approach | X | External |
| 6 | Device | K | Nonautologous Tissue Substitute |
| 7 | Qualifier | 4 | Partial Thickness |
In the ICD-10-PCS Alphabetic Index
These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:
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.
Code History
- XHRPXL2 — Replace Skin w Porc Livr Sub, Extern, New Tech 2
Similar Procedure Codes
Questions About 0HRDXK4
Is 0HRDXK4 a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Replacement of Right Lower Arm Skin with Nonautologous Tissue Substitute, Partial Thickness, External Approach on inpatient claims from October 1, 2026 through September 30, 2027.
What do the characters in 0HRDXK4 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 D is the BodyPart (Skin, Right Lower Arm); the 5th character X is the Approach (External); the 6th character K is the Device (Nonautologous Tissue Substitute); the 7th character 4 is the Qualifier (Partial Thickness).
What MS-DRG does 0HRDXK4 group to?
On an inpatient stay, Replacement of Right Lower Arm Skin with Nonautologous Tissue Substitute, Partial Thickness, External Approach maps to MS-DRGs 040, 041, 042, 361, 362, 463, 464, 465, 573, 574, 575, 576, 577, 578, 904, 905, 927, 928, 929, 957, 958, 959, with relative weights from 1.5541 to 27.8336. The MS-DRG sets the fixed Medicare payment for the stay.
What is the ICD-9-PCS equivalent of 0HRDXK4?
Under the General Equivalence Mappings, Replacement of Right Lower Arm Skin with Nonautologous Tissue Substitute, Partial Thickness, External Approach crosswalks to ICD-9-PCS 86.65 (Heterograft to skin), 86.66 (Homograft to skin), and 86.67 (Dermal regenerative graft). The mapping is approximate, so confirm it fits the documentation.
