0HRFXK3Replacement of Right Hand Skin with Nonautologous Tissue Substitute, Full Thickness, External Approach

  • Billable / Specific Code
ICD-10-PCS 0HRFXK3
CMS Source: FY 2027 ICD-10-PCS dataset. Effective Oct 1, 2026 – Sep 30, 2027.FacebookXLinkedInPrint

0HRFXK3 is a billable ICD-10-PCS procedure code for Replacement of Right Hand Skin with Nonautologous Tissue Substitute, Full Thickness, External Approach. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to 21 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
0HRFXK3
Billable Status
Yes — Valid for Submission
Code Describes
Replacement of Right Hand Skin with Nonautologous Tissue Substitute, Full Thickness, External Approach
Short Description
Replace R Hand Skin w Nonaut Sub, Full 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
4BodyPartFSkin, Right Hand
5ApproachXExternal
6DeviceKNonautologous Tissue Substitute
7Qualifier3Full 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, Hand, Right
Leads to this code's table
Leads to this code's table

To code replacement of the right hand skin, open the FY 2027 ICD-10-PCS Alphabetic Index at Replacement, then the subterms Skin, Hand, Right. The index leads to table 0HR, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 0HRFXK3.

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.

86.66
Homograft to skin
Approximate match.
86.67
Dermal regenerative graft
Approximate match.

Code History

Replaces previously assigned code(s):
  • XHRPXL2 — Replace Skin w Porc Livr Sub, Extern, New Tech 2
Replaced in the FY 2027 code set by:
  • XHRPXF7 — Replace Skin w Bioeng Allogen Construct, Extern, New Tech 7
  • XHRPXL2 — Replace Skin w Porc Livr Sub, Extern, New Tech 2

Similar Procedure Codes

Questions About 0HRFXK3

Is 0HRFXK3 a billable code?

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

What do the characters in 0HRFXK3 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 F is the BodyPart (Skin, Right Hand); the 5th character X is the Approach (External); the 6th character K is the Device (Nonautologous Tissue Substitute); the 7th character 3 is the Qualifier (Full Thickness).

What MS-DRG does 0HRFXK3 group to?

On an inpatient stay, Replacement of Right Hand Skin with Nonautologous Tissue Substitute, Full Thickness, External Approach maps to MS-DRGs 040, 041, 042, 361, 362, 513, 514, 573, 574, 575, 576, 577, 578, 904, 905, 927, 928, 929, 957, 958, 959, with relative weights from 1.0197 to 27.8336. The MS-DRG sets the fixed Medicare payment for the stay.

What is the ICD-9-PCS equivalent of 0HRFXK3?

Under the General Equivalence Mappings, Replacement of Right Hand Skin with Nonautologous Tissue Substitute, Full Thickness, External Approach crosswalks to ICD-9-PCS 86.66 (Homograft to skin) and 86.67 (Dermal regenerative graft). The mapping is approximate, so confirm it fits the documentation.