0NRV4JZReplacement of Left Mandible with Synthetic Substitute, Percutaneous Endoscopic Approach
- Billable / Specific Code
0NRV4JZ is a billable ICD-10-PCS procedure code for Replacement of Left Mandible with Synthetic 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
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 | V | Mandible, Left |
| 5 | Approach | 4 | Percutaneous Endoscopic |
| 6 | Device | J | Synthetic 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 mandible, open the FY 2027 ICD-10-PCS Alphabetic Index at Replacement, then the subterms Mandible, Left. The index leads to table 0NR, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 0NRV4JZ.
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 0NRV4JZ
Is 0NRV4JZ a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Replacement of Left Mandible with Synthetic Substitute, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2026 through September 30, 2027.
What do the characters in 0NRV4JZ 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 V is the BodyPart (Mandible, Left); the 5th character 4 is the Approach (Percutaneous Endoscopic); the 6th character J is the Device (Synthetic Substitute); the 7th character Z is the Qualifier (No Qualifier).
What MS-DRG does 0NRV4JZ group to?
On an inpatient stay, Replacement of Left Mandible with Synthetic 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 0NRV4JZ?
Under the General Equivalence Mappings, Replacement of Left Mandible with Synthetic 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.
