0NRT47ZReplacement of Right Mandible with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

  • Billable / Specific Code
ICD-10-PCS 0NRT47Z
CMS Source: FY 2027 ICD-10-PCS dataset. Effective Oct 1, 2026 – Sep 30, 2027.FacebookXLinkedInPrint

0NRT47Z is a billable ICD-10-PCS procedure code for Replacement of Right Mandible with Autologous Tissue Substitute, Percutaneous Endoscopic Approach. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to 12 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

ICD-10-PCS Code
0NRT47Z
Billable Status
Yes — Valid for Submission
Code Describes
Replacement of Right Mandible with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
Short Description
Replacement of R Mandible with Autol Sub, Perc Endo Approach
Parent Code

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 SystemNHead and Facial Bones
3OperationRReplacement
4BodyPartTMandible, Right
5Approach4Percutaneous Endoscopic
6Device7Autologous Tissue Substitute
7QualifierZNo Qualifier

In the ICD-10-PCS Alphabetic Index

These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:

Anatomy or device term that leads here
Anatomy or device term that leads here
Anatomy or device term that leads here
Replacement, Mandible, Right
Leads to this code's table
Anatomy or device term that leads here

To code replacement of the right mandible, open the FY 2027 ICD-10-PCS Alphabetic Index at Replacement, then the subterms Mandible, Right. The index leads to table 0NR, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 0NRT47Z.

Browse the full ICD-10-PCS Alphabetic Index →

Clinical Classification (CCSR)

AHRQ groups this procedure code into these clinical categories.

MST029
Musculoskeletal device procedures, NEC
Clinical domain: Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for this code under the General Equivalence Mappings.

76.41
Total mandibulectomy with synchronous reconstruction
Approximate match.

Similar Procedure Codes

Questions About 0NRT47Z

Is 0NRT47Z a billable code?

Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Replacement of Right Mandible with Autologous Tissue Substitute, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2026 through September 30, 2027.

What do the characters in 0NRT47Z 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 T is the BodyPart (Mandible, Right); the 5th character 4 is the Approach (Percutaneous Endoscopic); the 6th character 7 is the Device (Autologous Tissue Substitute); the 7th character Z is the Qualifier (No Qualifier).

What MS-DRG does 0NRT47Z group to?

On an inpatient stay, Replacement of Right Mandible with Autologous Tissue Substitute, Percutaneous Endoscopic Approach maps to MS-DRGs 140, 141, 142, 515, 516, 517, 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 0NRT47Z?

Under the General Equivalence Mappings, Replacement of Right Mandible with Autologous Tissue Substitute, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 76.41 (Total mandibulectomy with synchronous reconstruction). The mapping is approximate, so confirm it fits the documentation.