2021 ICD-10-PCS Procedure Code 0KR447Z

Replacement of Tongue, Palate, Pharynx Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

Version 2021
Billable Code

Valid for Submission

ICD-10-PCS:0KR447Z
Short Description:Replace Tongue/Palate/Phar Muscle w Autol Sub, Perc Endo
Long Description:Replacement of Tongue, Palate, Pharynx Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

0KR447Z is a billable procedure code used to specify the performance of replacement of tongue, palate, pharynx muscle with autologous tissue substitute, percutaneous endoscopic approach. The code is valid for the year 2021 for the submission of HIPAA-covered transactions.

The procedure code 0KR447Z is in the medical and surgical section and is part of the muscles body system, classified under the replacement operation. The applicable bodypart is tongue, palate, pharynx muscle.

Replacement Code

0KR447Z replaces the following previously assigned ICD-10-PCS code(s):

ICD-10-PCS Details

Position Designation Character Label Notes
1 Section 0 Medical and Surgical
2 Body System K Muscles
3 Operation R 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

Explanation:
The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during the Replacement procedure. A Removal procedure is coded for taking out the device used in a previous replacement procedure

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

Explanation:
The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during the Replacement procedure. A Removal procedure is coded for taking out the device used in a previous replacement procedure

Includes:
  • Total hip replacement, bone graft, free skin graft
  • Total hip replacement, bone graft, free skin graft
4 BodyPart 4 Tongue, Palate, Pharynx Muscle Includes:
  • Chondroglossus muscle
  • Genioglossus muscle
  • Hyoglossus muscle
  • Inferior longitudinal muscle
  • Levator veli palatini muscle
  • Palatoglossal muscle
  • Palatopharyngeal muscle
  • Pharyngeal constrictor muscle
  • Salpingopharyngeus muscle
  • Styloglossus muscle
  • Stylopharyngeus muscle
  • Superior longitudinal muscle
  • Tensor veli palatini muscle
  • Chondroglossus muscle
  • Genioglossus muscle
  • Hyoglossus muscle
  • Inferior longitudinal muscle
  • Levator veli palatini muscle
  • Palatoglossal muscle
  • Palatopharyngeal muscle
  • Pharyngeal constrictor muscle
  • Salpingopharyngeus muscle
  • Styloglossus muscle
  • Stylopharyngeus muscle
  • Superior longitudinal muscle
  • Tensor veli palatini muscle
5 Approach 4 Percutaneous Endoscopic

Involves:
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

Involves:
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

6 Device 7 Autologous Tissue Substitute Includes:
  • Autograft
  • Cultured epidermal cell autograft
  • Epicel(R) cultured epidermal autograft
  • Autograft
  • Cultured epidermal cell autograft
  • Epicel(R) cultured epidermal autograft
7 Qualifier Z No Qualifier

Explanation:
The value Z is used for the seventh character to indicate that a specific qualifier does not apply to the procedure.

Diagnostic Related Groups - MS-DRG Mapping

The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The procedure code 0KR447Z is grouped in the following groups for version MS-DRG V38.0 applicable from 10/01/2020 through 09/30/2021.

MS-DRG MS-DRG Title MCD Relative Weight
040PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC013.9578
041PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR012.3511
042PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC011.8849
500SOFT TISSUE PROCEDURES WITH MCC083.1539
501SOFT TISSUE PROCEDURES WITH CC081.745
502SOFT TISSUE PROCEDURES WITHOUT CC/MCC081.3308
579OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC092.9278
580OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC091.6031
581OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC091.2599
907OTHER O.R. PROCEDURES FOR INJURIES WITH MCC213.9571
908OTHER O.R. PROCEDURES FOR INJURIES WITH CC212.0404
909OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC211.3746
957OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC247.4208
958OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC244.2054
959OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC242.7342

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Convert 0KR447Z to ICD-9-PCS

The following crosswalk between ICD-10-PCS to ICD-9-PCS is based based on the General Equivalence Mappings (GEMS) information:

What is ICD-10-PCS?

The ICD-10 Procedure Coding System (ICD-10-PCS) is a catalog of procedural codes used by medical professionals for hospital inpatient healthcare settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates. These 2021 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2020 through September 30, 2021.

Each ICD-10-PCS code has a structure of seven alphanumeric characters and contains no decimals. The first character defines the major "section". Depending on the "section" the second through seventh characters mean different things.