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ICD-10-PCS 2027 procedure code

0CRM0KZReplacement of Pharynx with Nonautologous Tissue Substitute, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Replacement of Pharynx with Nonaut Sub, Open Approach

Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0CRM0KZ

0CRM0KZ is the ICD-10-PCS code for a replacement procedure on the pharynx using an open approach with nonautologous tissue substitute. In ICD-10-PCS, replacement means 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 plain terms, this corresponds to plastic operation on pharynx, the ICD-9-CM procedure title it maps to (29.4).

For a different body part, codes include 0CR00KZ (upper lip), 0CR10KZ (lower lip), 0CR20KZ (hard palate), 0CR30KZ (soft palate), 0CR40KZ (buccal mucosa), 0CR50KZ (upper gingiva) and 9 more.

The same procedure with a different approach is coded 0CRM7KZ (via natural or artificial opening) and 0CRM8KZ (via natural or artificial opening endoscopic).

With a different device, use 0CRM07Z (autologous tissue substitute) and 0CRM0JZ (synthetic substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 040 (Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC), DRG 041 (Peripheral, Cranial Nerve and Other Nervous System Procedures with CC or Peripheral Neurostimulator), DRG 042 (Peripheral, Cranial Nerve and Other Nervous System Procedures without CC/MCC), DRG 143 (Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC), DRG 144 (Other Ear, Nose, Mouth and Throat O.R. Procedures with CC) and DRG 145 (Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC), under the surgical categories “Peripheral, Cranial Nerve and Other Nervous System Procedures”, “Other Ear, Nose, Mouth and Throat O.R. Procedures”, “Other O.R. Procedures for Injuries” and 1 more.

It has been valid since ICD-10-PCS took effect on October 1, 2015.

What each character means

1. Section
0Medical and Surgical
2. Body System
CMouth and Throat
3. Operation
RReplacement

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

The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during the Replacement procedure. A Removal procedure is coded for taking out the device used in a previous replacement procedure

Includes: Total hip replacement, bone graft, free skin graft

4. Body Part
MPharynx

Includes: Base of Tongue; Hypopharynx; Laryngopharynx; Lingual tonsil; Oropharynx; Piriform recess (sinus); Tongue, base of

5. Approach
0Open

Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

6. Device
KNonautologous Tissue Substitute

Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft

7. Qualifier
ZNo Qualifier

Other versions of this procedure

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

ICD-9-CM equivalent

Converter →
  • 29.4Plastic operation on pharynxapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 0CRM0KZ

Is 0CRM0KZ a valid ICD-10-PCS code for 2027?

Yes. 0CRM0KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0CRM0KZ an O.R. procedure?

Yes. 0CRM0KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0CRM0KZ group to?

Depending on the principal diagnosis, 0CRM0KZ can group to MS-DRG 040, MS-DRG 041, MS-DRG 042, MS-DRG 143, MS-DRG 144 and MS-DRG 145.

What is the ICD-9 procedure code for 0CRM0KZ?

The CMS GEMs map 0CRM0KZ to ICD-9-CM 29.4 (Plastic operation on pharynx).