ICD-10-PCS Tabular Index · Section 0 · FY 2026 0X0

0X0 Alteration - Anatomical Regions, Upper Extremities ICD-10-PCS

The 0X0 code range contains 169 ICD-10-PCS codes for Alteration procedures on the anatomical regions, upper extremities. 168 of the codes are billable and valid for inpatient claim submission in fiscal year 2026.

✓ Built from the official CMS FY 2026 datasetEffective Oct 1, 2025 – Sep 30, 2026
169
Procedure Codes
168
Billable Codes
0X0
Characters 1–3
0X
Parent Body System

Root Operation Definition

Alteration: Modifying the anatomic structure of a body part without affecting the function of the body part.

ICD-10-PCS

Codes in the 0X0 Range 169 codes · 168 billable

169 of 169 shown
  • 0X0 Anatomical Regions, Upper Extremities, AlterationNon-billable header
  • 0X0207Z Alteration of Right Shoulder Region with Autologous Tissue Substitute, Open Approach
  • 0X020JZ Alteration of Right Shoulder Region with Synthetic Substitute, Open Approach
  • 0X020KZ Alteration of Right Shoulder Region with Nonautologous Tissue Substitute, Open Approach
  • 0X020ZZ Alteration of Right Shoulder Region, Open Approach
  • 0X0237Z Alteration of Right Shoulder Region with Autologous Tissue Substitute, Percutaneous Approach
  • 0X023JZ Alteration of Right Shoulder Region with Synthetic Substitute, Percutaneous Approach
  • 0X023KZ Alteration of Right Shoulder Region with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0X023ZZ Alteration of Right Shoulder Region, Percutaneous Approach
  • 0X0247Z Alteration of Right Shoulder Region with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0X024JZ Alteration of Right Shoulder Region with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0X024KZ Alteration of Right Shoulder Region with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0X024ZZ Alteration of Right Shoulder Region, Percutaneous Endoscopic Approach
  • 0X0307Z Alteration of Left Shoulder Region with Autologous Tissue Substitute, Open Approach
  • 0X030JZ Alteration of Left Shoulder Region with Synthetic Substitute, Open Approach
  • 0X030KZ Alteration of Left Shoulder Region with Nonautologous Tissue Substitute, Open Approach
  • 0X030ZZ Alteration of Left Shoulder Region, Open Approach
  • 0X0337Z Alteration of Left Shoulder Region with Autologous Tissue Substitute, Percutaneous Approach
  • 0X033JZ Alteration of Left Shoulder Region with Synthetic Substitute, Percutaneous Approach
  • 0X033KZ Alteration of Left Shoulder Region with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0X033ZZ Alteration of Left Shoulder Region, Percutaneous Approach
  • 0X0347Z Alteration of Left Shoulder Region with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0X034JZ Alteration of Left Shoulder Region with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0X034KZ Alteration of Left Shoulder Region with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0X034ZZ Alteration of Left Shoulder Region, Percutaneous Endoscopic Approach
  • 0X0407Z Alteration of Right Axilla with Autologous Tissue Substitute, Open Approach
  • 0X040JZ Alteration of Right Axilla with Synthetic Substitute, Open Approach
  • 0X040KZ Alteration of Right Axilla with Nonautologous Tissue Substitute, Open Approach
  • 0X040ZZ Alteration of Right Axilla, Open Approach
  • 0X0437Z Alteration of Right Axilla with Autologous Tissue Substitute, Percutaneous Approach
  • 0X043JZ Alteration of Right Axilla with Synthetic Substitute, Percutaneous Approach
  • 0X043KZ Alteration of Right Axilla with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0X043ZZ Alteration of Right Axilla, Percutaneous Approach
  • 0X0447Z Alteration of Right Axilla with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0X044JZ Alteration of Right Axilla with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0X044KZ Alteration of Right Axilla with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0X044ZZ Alteration of Right Axilla, Percutaneous Endoscopic Approach
  • 0X0507Z Alteration of Left Axilla with Autologous Tissue Substitute, Open Approach
  • 0X050JZ Alteration of Left Axilla with Synthetic Substitute, Open Approach
  • 0X050KZ Alteration of Left Axilla with Nonautologous Tissue Substitute, Open Approach
  • 0X050ZZ Alteration of Left Axilla, Open Approach
  • 0X0537Z Alteration of Left Axilla with Autologous Tissue Substitute, Percutaneous Approach
  • 0X053JZ Alteration of Left Axilla with Synthetic Substitute, Percutaneous Approach
  • 0X053KZ Alteration of Left Axilla with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0X053ZZ Alteration of Left Axilla, Percutaneous Approach
  • 0X0547Z Alteration of Left Axilla with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0X054JZ Alteration of Left Axilla with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0X054KZ Alteration of Left Axilla with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0X054ZZ Alteration of Left Axilla, Percutaneous Endoscopic Approach
  • 0X0607Z Alteration of Right Upper Extremity with Autologous Tissue Substitute, Open Approach
  • 0X060JZ Alteration of Right Upper Extremity with Synthetic Substitute, Open Approach
  • 0X060KZ Alteration of Right Upper Extremity with Nonautologous Tissue Substitute, Open Approach
  • 0X060ZZ Alteration of Right Upper Extremity, Open Approach
  • 0X0637Z Alteration of Right Upper Extremity with Autologous Tissue Substitute, Percutaneous Approach
  • 0X063JZ Alteration of Right Upper Extremity with Synthetic Substitute, Percutaneous Approach
  • 0X063KZ Alteration of Right Upper Extremity with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0X063ZZ Alteration of Right Upper Extremity, Percutaneous Approach
  • 0X0647Z Alteration of Right Upper Extremity with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0X064JZ Alteration of Right Upper Extremity with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0X064KZ Alteration of Right Upper Extremity with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0X064ZZ Alteration of Right Upper Extremity, Percutaneous Endoscopic Approach
  • 0X0707Z Alteration of Left Upper Extremity with Autologous Tissue Substitute, Open Approach
  • 0X070JZ Alteration of Left Upper Extremity with Synthetic Substitute, Open Approach
  • 0X070KZ Alteration of Left Upper Extremity with Nonautologous Tissue Substitute, Open Approach
  • 0X070ZZ Alteration of Left Upper Extremity, Open Approach
  • 0X0737Z Alteration of Left Upper Extremity with Autologous Tissue Substitute, Percutaneous Approach
  • 0X073JZ Alteration of Left Upper Extremity with Synthetic Substitute, Percutaneous Approach
  • 0X073KZ Alteration of Left Upper Extremity with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0X073ZZ Alteration of Left Upper Extremity, Percutaneous Approach
  • 0X0747Z Alteration of Left Upper Extremity with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0X074JZ Alteration of Left Upper Extremity with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0X074KZ Alteration of Left Upper Extremity with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0X074ZZ Alteration of Left Upper Extremity, Percutaneous Endoscopic Approach
  • 0X0807Z Alteration of Right Upper Arm with Autologous Tissue Substitute, Open Approach
  • 0X080JZ Alteration of Right Upper Arm with Synthetic Substitute, Open Approach
  • 0X080KZ Alteration of Right Upper Arm with Nonautologous Tissue Substitute, Open Approach
  • 0X080ZZ Alteration of Right Upper Arm, Open Approach
  • 0X0837Z Alteration of Right Upper Arm with Autologous Tissue Substitute, Percutaneous Approach
  • 0X083JZ Alteration of Right Upper Arm with Synthetic Substitute, Percutaneous Approach
  • 0X083KZ Alteration of Right Upper Arm with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0X083ZZ Alteration of Right Upper Arm, Percutaneous Approach
  • 0X0847Z Alteration of Right Upper Arm with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0X084JZ Alteration of Right Upper Arm with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0X084KZ Alteration of Right Upper Arm with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0X084ZZ Alteration of Right Upper Arm, Percutaneous Endoscopic Approach
  • 0X0907Z Alteration of Left Upper Arm with Autologous Tissue Substitute, Open Approach
  • 0X090JZ Alteration of Left Upper Arm with Synthetic Substitute, Open Approach
  • 0X090KZ Alteration of Left Upper Arm with Nonautologous Tissue Substitute, Open Approach
  • 0X090ZZ Alteration of Left Upper Arm, Open Approach
  • 0X0937Z Alteration of Left Upper Arm with Autologous Tissue Substitute, Percutaneous Approach
  • 0X093JZ Alteration of Left Upper Arm with Synthetic Substitute, Percutaneous Approach
  • 0X093KZ Alteration of Left Upper Arm with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0X093ZZ Alteration of Left Upper Arm, Percutaneous Approach
  • 0X0947Z Alteration of Left Upper Arm with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0X094JZ Alteration of Left Upper Arm with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0X094KZ Alteration of Left Upper Arm with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0X094ZZ Alteration of Left Upper Arm, Percutaneous Endoscopic Approach
  • 0X0B07Z Alteration of Right Elbow Region with Autologous Tissue Substitute, Open Approach
  • 0X0B0JZ Alteration of Right Elbow Region with Synthetic Substitute, Open Approach
  • 0X0B0KZ Alteration of Right Elbow Region with Nonautologous Tissue Substitute, Open Approach
  • 0X0B0ZZ Alteration of Right Elbow Region, Open Approach
  • 0X0B37Z Alteration of Right Elbow Region with Autologous Tissue Substitute, Percutaneous Approach
  • 0X0B3JZ Alteration of Right Elbow Region with Synthetic Substitute, Percutaneous Approach
  • 0X0B3KZ Alteration of Right Elbow Region with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0X0B3ZZ Alteration of Right Elbow Region, Percutaneous Approach
  • 0X0B47Z Alteration of Right Elbow Region with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0X0B4JZ Alteration of Right Elbow Region with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0X0B4KZ Alteration of Right Elbow Region with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0X0B4ZZ Alteration of Right Elbow Region, Percutaneous Endoscopic Approach
  • 0X0C07Z Alteration of Left Elbow Region with Autologous Tissue Substitute, Open Approach
  • 0X0C0JZ Alteration of Left Elbow Region with Synthetic Substitute, Open Approach
  • 0X0C0KZ Alteration of Left Elbow Region with Nonautologous Tissue Substitute, Open Approach
  • 0X0C0ZZ Alteration of Left Elbow Region, Open Approach
  • 0X0C37Z Alteration of Left Elbow Region with Autologous Tissue Substitute, Percutaneous Approach
  • 0X0C3JZ Alteration of Left Elbow Region with Synthetic Substitute, Percutaneous Approach
  • 0X0C3KZ Alteration of Left Elbow Region with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0X0C3ZZ Alteration of Left Elbow Region, Percutaneous Approach
  • 0X0C47Z Alteration of Left Elbow Region with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0X0C4JZ Alteration of Left Elbow Region with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0X0C4KZ Alteration of Left Elbow Region with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0X0C4ZZ Alteration of Left Elbow Region, Percutaneous Endoscopic Approach
  • 0X0D07Z Alteration of Right Lower Arm with Autologous Tissue Substitute, Open Approach
  • 0X0D0JZ Alteration of Right Lower Arm with Synthetic Substitute, Open Approach
  • 0X0D0KZ Alteration of Right Lower Arm with Nonautologous Tissue Substitute, Open Approach
  • 0X0D0ZZ Alteration of Right Lower Arm, Open Approach
  • 0X0D37Z Alteration of Right Lower Arm with Autologous Tissue Substitute, Percutaneous Approach
  • 0X0D3JZ Alteration of Right Lower Arm with Synthetic Substitute, Percutaneous Approach
  • 0X0D3KZ Alteration of Right Lower Arm with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0X0D3ZZ Alteration of Right Lower Arm, Percutaneous Approach
  • 0X0D47Z Alteration of Right Lower Arm with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0X0D4JZ Alteration of Right Lower Arm with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0X0D4KZ Alteration of Right Lower Arm with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0X0D4ZZ Alteration of Right Lower Arm, Percutaneous Endoscopic Approach
  • 0X0F07Z Alteration of Left Lower Arm with Autologous Tissue Substitute, Open Approach
  • 0X0F0JZ Alteration of Left Lower Arm with Synthetic Substitute, Open Approach
  • 0X0F0KZ Alteration of Left Lower Arm with Nonautologous Tissue Substitute, Open Approach
  • 0X0F0ZZ Alteration of Left Lower Arm, Open Approach
  • 0X0F37Z Alteration of Left Lower Arm with Autologous Tissue Substitute, Percutaneous Approach
  • 0X0F3JZ Alteration of Left Lower Arm with Synthetic Substitute, Percutaneous Approach
  • 0X0F3KZ Alteration of Left Lower Arm with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0X0F3ZZ Alteration of Left Lower Arm, Percutaneous Approach
  • 0X0F47Z Alteration of Left Lower Arm with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0X0F4JZ Alteration of Left Lower Arm with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0X0F4KZ Alteration of Left Lower Arm with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0X0F4ZZ Alteration of Left Lower Arm, Percutaneous Endoscopic Approach
  • 0X0G07Z Alteration of Right Wrist Region with Autologous Tissue Substitute, Open Approach
  • 0X0G0JZ Alteration of Right Wrist Region with Synthetic Substitute, Open Approach
  • 0X0G0KZ Alteration of Right Wrist Region with Nonautologous Tissue Substitute, Open Approach
  • 0X0G0ZZ Alteration of Right Wrist Region, Open Approach
  • 0X0G37Z Alteration of Right Wrist Region with Autologous Tissue Substitute, Percutaneous Approach
  • 0X0G3JZ Alteration of Right Wrist Region with Synthetic Substitute, Percutaneous Approach
  • 0X0G3KZ Alteration of Right Wrist Region with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0X0G3ZZ Alteration of Right Wrist Region, Percutaneous Approach
  • 0X0G47Z Alteration of Right Wrist Region with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0X0G4JZ Alteration of Right Wrist Region with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0X0G4KZ Alteration of Right Wrist Region with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0X0G4ZZ Alteration of Right Wrist Region, Percutaneous Endoscopic Approach
  • 0X0H07Z Alteration of Left Wrist Region with Autologous Tissue Substitute, Open Approach
  • 0X0H0JZ Alteration of Left Wrist Region with Synthetic Substitute, Open Approach
  • 0X0H0KZ Alteration of Left Wrist Region with Nonautologous Tissue Substitute, Open Approach
  • 0X0H0ZZ Alteration of Left Wrist Region, Open Approach
  • 0X0H37Z Alteration of Left Wrist Region with Autologous Tissue Substitute, Percutaneous Approach
  • 0X0H3JZ Alteration of Left Wrist Region with Synthetic Substitute, Percutaneous Approach
  • 0X0H3KZ Alteration of Left Wrist Region with Nonautologous Tissue Substitute, Percutaneous Approach
  • 0X0H3ZZ Alteration of Left Wrist Region, Percutaneous Approach
  • 0X0H47Z Alteration of Left Wrist Region with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0X0H4JZ Alteration of Left Wrist Region with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 0X0H4KZ Alteration of Left Wrist Region with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 0X0H4ZZ Alteration of Left Wrist Region, Percutaneous Endoscopic Approach

About the 0X0 Code Range

The ICD-10-PCS root operation Alteration (code starting with 0X0) involves modifying the anatomical structure of a body region, primarily the upper extremities, without removing any tissue. This operation is performed to change the form or appearance for a specific clinical purpose rather than to treat a pathology directly.

The classification under the Medical and Surgical section highlights the adaptability of this procedure across various anatomical sites such as the shoulder, axilla, upper arm, elbow, lower arm, and wrist regions. The examples show that alteration can be executed via multiple approaches — including open, percutaneous, and percutaneous endoscopic techniques. Depending on the case, this operation may use different substitutes such as autologous tissue, synthetic, or nonautologous tissue substitutes. For instance, code 0X0207Z represents an open alteration of the right shoulder region using an autologous tissue substitute, while 0X033ZZ indicates alteration of the left shoulder region via a percutaneous approach without a tissue substitute. Accurately coding these upper extremity alteration procedures ensures precise documentation of the surgical modification performed without excision or repair.

Questions About This Page

How many billable codes are in the 0X0 range?

Of the 169 codes in this range, 168 are billable and valid for inpatient claim submission from October 1, 2025 through September 30, 2026. Table header codes group them but cannot be reported on claims.

What does the 0X0 range classify?

The range classifies Alteration procedures, modifying the anatomic structure of a body part without affecting the function of the body part, performed on the anatomical regions, upper extremities. Each code adds the body part, approach, device, and qualifier in characters four through seven, and links to its own reference page.

Related References

All ICD-10-PCS SectionsAll of Medical and Surgical (0)All of Body System 0XICD-10-PCS Code LookupICD-10-CM Codes ListMS-DRG ReferenceMedicare Code Edits

Source: CMS FY 2026 ICD-10-PCS order file and code tables, effective October 1, 2025 through September 30, 2026.