0XRL47PReplacement of Right Thumb with Left Toe, Autologous Tissue Substitute, Percutaneous Endoscopic Approach

  • Billable / Specific Code
ICD-10-PCS 0XRL47P
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

0XRL47P is a billable ICD-10-PCS procedure code for Replacement of Right Thumb with Left Toe, Autologous Tissue Substitute, Percutaneous Endoscopic Approach. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to 6 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.

Code Identity

ICD-10-PCS Code
0XRL47P
Billable Status
Yes — Valid for Submission
Code Describes
Replacement of Right Thumb with Left Toe, Autologous Tissue Substitute, Percutaneous Endoscopic Approach
Parent Code
0XR Anatomical Regions, Upper Extremities, Replacement
Short Description
Replace of R Thumb with L Toe, Autol Sub, Perc Endo Approac

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 SystemXAnatomical Regions, Upper Extremities
3OperationRReplacement
4BodyPartLThumb, Right
5Approach4Percutaneous Endoscopic
6Device7Autologous Tissue Substitute
7QualifierPToe, Left

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for 0XRL47P under the General Equivalence Mappings.

82.69
Approximate match.

Similar Procedure Codes

Questions About 0XRL47P

Is 0XRL47P a billable code?

Yes. 0XRL47P is a complete seven-character ICD-10-PCS code, specific enough to report Replacement of Right Thumb with Left Toe, Autologous Tissue Substitute, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in 0XRL47P mean?

0XRL47P breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character X is the Body System (Anatomical Regions, Upper Extremities); the 3rd character R is the Operation (Replacement); the 4th character L is the BodyPart (Thumb, Right); the 5th character 4 is the Approach (Percutaneous Endoscopic); the 6th character 7 is the Device (Autologous Tissue Substitute); the 7th character P is the Qualifier (Toe, Left).

What MS-DRG does 0XRL47P group to?

On an inpatient stay, Replacement of Right Thumb with Left Toe, Autologous Tissue Substitute, Percutaneous Endoscopic Approach maps to MS-DRGs 040, 041, 042, 957, 958, 959, with relative weights from 1.7277 to 7.6199. The MS-DRG sets the fixed Medicare payment for the stay.

What is the ICD-9-PCS equivalent of 0XRL47P?

Under the General Equivalence Mappings, Replacement of Right Thumb with Left Toe, Autologous Tissue Substitute, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 82.69. The mapping is approximate, so confirm it fits the documentation.