0HRRXKZReplacement of Toe Nail with Nonautologous Tissue Substitute, External Approach
- Billable / Specific Code
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 2027 (October 1, 2026 through September 30, 2027) 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. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Nail procedures.
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 | R | Toe Nail |
| 5 | Approach | X | External |
| 6 | Device | K | Nonautologous Tissue Substitute |
| 7 | Qualifier | Z | No Qualifier |
In the ICD-10-PCS Alphabetic Index
These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:
To code replacement of the toe nail, open the FY 2027 ICD-10-PCS Alphabetic Index at Replacement, then the subterm Toe Nail. The index leads to table 0HR, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 0HRRXKZ.
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.
Similar Procedure Codes
Questions About 0HRRXKZ
Is 0HRRXKZ a billable code?
Yes. This 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, 2026 through September 30, 2027.
What do the characters in 0HRRXKZ 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 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 1.3810 to 7.5502. 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 (Onychoplasty). The mapping is approximate, so confirm it fits the documentation.
