0XR Replacement - Anatomical Regions, Upper Extremities ICD-10-PCS
The 0XR code range contains 9 ICD-10-PCS codes for Replacement procedures on the anatomical regions, upper extremities. 8 of the codes are billable and valid for inpatient claim submission in fiscal year 2026.
Root Operation Definition
Replacement: 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.
Codes in the 0XR Range 9 codes · 8 billable
- 0XR Anatomical Regions, Upper Extremities, ReplacementNon-billable header
- 0XRL07N Replacement of Right Thumb with Right Toe, Autologous Tissue Substitute, Open Approach
- 0XRL07P Replacement of Right Thumb with Left Toe, Autologous Tissue Substitute, Open Approach
- 0XRL47N Replacement of Right Thumb with Right Toe, Autologous Tissue Substitute, Percutaneous Endoscopic Approach
- 0XRL47P Replacement of Right Thumb with Left Toe, Autologous Tissue Substitute, Percutaneous Endoscopic Approach
- 0XRM07N Replacement of Left Thumb with Right Toe, Autologous Tissue Substitute, Open Approach
- 0XRM07P Replacement of Left Thumb with Left Toe, Autologous Tissue Substitute, Open Approach
- 0XRM47N Replacement of Left Thumb with Right Toe, Autologous Tissue Substitute, Percutaneous Endoscopic Approach
- 0XRM47P Replacement of Left Thumb with Left Toe, Autologous Tissue Substitute, Percutaneous Endoscopic Approach
About the 0XR Code Range
The ICD-10-PCS root operation Replacement (0XR) involves taking out a portion of the upper extremity and putting in a new body part to restore function. This procedure is common in reconstructive surgeries where damaged or lost tissue is substituted with healthy tissue.
Within the Medical and Surgical section, the replacement focuses on the upper extremities such as the thumb. The provided examples demonstrate replacement using an autologous tissue substitute—tissue taken from the patient’s own body, specifically a toe. Codes like 0XRL07N and 0XRL07P describe the open approach to replace the right thumb with either the right or left toe. Less invasive options include the Percutaneous Endoscopic Approach represented by codes such as 0XRL47N and 0XRL47P. These detailed codes enable precise documentation of the replacement procedure, critical for accurate clinical records and billing within the upper extremity category.
Questions About This Page
How many billable codes are in the 0XR range?
Of the 9 codes in this range, 8 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 0XR range classify?
The range classifies Replacement procedures, 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, 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
Source: CMS FY 2026 ICD-10-PCS order file and code tables, effective October 1, 2025 through September 30, 2026.
