2022 ICD-10-PCS Procedure Code 0NRB47Z

Replacement of Nasal Bone with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

Version 2021
Billable Code

Valid for Submission

ICD-10-PCS:0NRB47Z
Short Description:Replacement of Nasal Bone with Autol Sub, Perc Endo Approach
Long Description:Replacement of Nasal Bone with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

0NRB47Z is a billable procedure code used to specify the performance of replacement of nasal bone with autologous tissue substitute, percutaneous endoscopic approach. The code is valid for the year 2022 for the submission of HIPAA-covered transactions.

The procedure code 0NRB47Z is in the medical and surgical section and is part of the head and facial bones body system, classified under the replacement operation. The applicable bodypart is nasal bone.

ICD-10-PCS Details

Position Designation Character Label Notes
1 Section 0 Medical and Surgical
2 Body System N Head and Facial Bones
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

Includes:
  • Total hip replacement, bone graft, free skin graft
4 BodyPart B Nasal Bone Includes:
  • Vomer of nasal septum
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

6 Device 7 Autologous Tissue Substitute Includes:
  • 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 0NRB47Z is grouped in the following groups for version MS-DRG V38.0 applicable from 10/01/2021 through 09/30/2022.

MS-DRG MS-DRG Title MCD Relative Weight
143OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC032.9798
144OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC031.7615
145OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC031.2246
515OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC083.1406
516OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC081.9628
517OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC081.3982
579OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC093.1449
580OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC091.7288
581OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC091.3768
907OTHER O.R. PROCEDURES FOR INJURIES WITH MCC213.9482
908OTHER O.R. PROCEDURES FOR INJURIES WITH CC212.0504
909OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC211.371
957OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC247.4209
958OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC244.2057
959OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC242.7361

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 0NRB47Z 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 2022 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2021 through September 30, 2022.

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.