0HRRXKZReplacement of Toe Nail with Nonautologous Tissue Substitute, External Approach

  • Billable / Specific Code
ICD-10-PCS 0HRRXKZ
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

0HRRXKZ is a billable ICD-10-PCS procedure code for Replacement of Toe Nail with Nonautologous Tissue Substitute, External Approach. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to 9 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

ICD-10-PCS Code
0HRRXKZ
Billable Status
Yes — Valid for Submission
Code Describes
Replacement of Toe Nail with Nonautologous Tissue Substitute, External Approach
Parent Code
Short Description
Replacement of Toe Nail with Nonaut Sub, Extern Approach

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
4BodyPartRToe Nail
5ApproachXExternal
6DeviceKNonautologous Tissue Substitute
7QualifierZNo Qualifier

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for 0HRRXKZ under the General Equivalence Mappings.

86.86
Approximate match.

Similar Procedure Codes

Questions About 0HRRXKZ

Is 0HRRXKZ a billable code?

Yes. 0HRRXKZ is a complete seven-character ICD-10-PCS code, specific enough to report Replacement of Toe Nail with Nonautologous Tissue Substitute, External Approach on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in 0HRRXKZ mean?

0HRRXKZ 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 R is the BodyPart (Toe Nail); the 5th character X is the Approach (External); the 6th character K is the Device (Nonautologous Tissue Substitute); the 7th character Z is the Qualifier (No Qualifier).

What MS-DRG does 0HRRXKZ group to?

On an inpatient stay, Replacement of Toe Nail with Nonautologous Tissue Substitute, External Approach maps to MS-DRGs 579, 580, 581, 907, 908, 909, 957, 958, 959, with relative weights from 1.3127 to 7.6199. The MS-DRG sets the fixed Medicare payment for the stay.

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

Under the General Equivalence Mappings, Replacement of Toe Nail with Nonautologous Tissue Substitute, External Approach crosswalks to ICD-9-PCS 86.86. The mapping is approximate, so confirm it fits the documentation.