ICD-10-PCS 2027 procedure code
0CRM87ZReplacement of Pharynx with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
Short description: Replacement of Pharynx with Autol Sub, Endo
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 0CRM87Z
0CRM87Z is the ICD-10-PCS code for a replacement procedure on the pharynx using a via natural or artificial opening endoscopic approach with autologous 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 0CRR87Z (epiglottis), 0CRS87Z (larynx), 0CRT87Z (right vocal cord) and 0CRV87Z (left vocal cord).
The same procedure with a different approach is coded 0CRM07Z (open) and 0CRM77Z (via natural or artificial opening).
With a different device, use 0CRM8JZ (synthetic substitute) and 0CRM8KZ (nonautologous tissue 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
- 8Via Natural or Artificial Opening Endoscopic
Entry of instrumentation through a natural or artificial external opening to reach and visualize the site of the procedure
- 6. Device
- 7Autologous Tissue Substitute
Includes: Autograft; Cultured epidermal cell autograft; Epicel(R) cultured epidermal autograft
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different approach
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 01 · Diseases and Disorders of the Nervous System · Peripheral, Cranial Nerve and Other Nervous System Procedures
MDC 03 · Diseases and Disorders of the Ear, Nose, Mouth and Throat · Other Ear, Nose, Mouth and Throat O.R. Procedures
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →- 29.4Plastic operation on pharynxapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 0CRM87Z
Is 0CRM87Z a valid ICD-10-PCS code for 2027?
- Yes. 0CRM87Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0CRM87Z an O.R. procedure?
- Yes. 0CRM87Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0CRM87Z group to?
- Depending on the principal diagnosis, 0CRM87Z 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 0CRM87Z?
- The CMS GEMs map 0CRM87Z to ICD-9-CM 29.4 (Plastic operation on pharynx).