0NR407ZReplacement of Left Parietal Bone with Autologous Tissue Substitute, Open Approach
- Billable / Specific Code
0NR407Z is a billable ICD-10-PCS procedure code for Replacement of Left Parietal Bone with Autologous Tissue Substitute, Open Approach. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to 11 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 Musculoskeletal device procedures, NEC.
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 | N | Head and Facial Bones |
| 3 | Operation | R | Replacement |
| 4 | BodyPart | 4 | Parietal Bone, Left |
| 5 | Approach | 0 | Open |
| 6 | Device | 7 | Autologous 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 left parietal bone, open the FY 2027 ICD-10-PCS Alphabetic Index at Replacement, then the subterms Bone, Parietal, Left. The index leads to table 0NR, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 0NR407Z.
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 0NR407Z
Is 0NR407Z a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Replacement of Left Parietal Bone with Autologous Tissue Substitute, Open Approach on inpatient claims from October 1, 2026 through September 30, 2027.
What do the characters in 0NR407Z mean?
The code breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character N is the Body System (Head and Facial Bones); the 3rd character R is the Operation (Replacement); the 4th character 4 is the BodyPart (Parietal Bone, Left); the 5th character 0 is the Approach (Open); the 6th character 7 is the Device (Autologous Tissue Substitute); the 7th character Z is the Qualifier (No Qualifier).
What MS-DRG does 0NR407Z group to?
On an inpatient stay, Replacement of Left Parietal Bone with Autologous Tissue Substitute, Open Approach maps to MS-DRGs 023, 024, 025, 026, 027, 143, 144, 145, 515, 516, 517, with relative weights from 1.2335 to 5.7422. The MS-DRG sets the fixed Medicare payment for the stay.
What is the ICD-9-PCS equivalent of 0NR407Z?
Under the General Equivalence Mappings, Replacement of Left Parietal Bone with Autologous Tissue Substitute, Open Approach crosswalks to ICD-9-PCS 02.04 (Bone graft to skull). The mapping is approximate, so confirm it fits the documentation.
