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ICD-10-PCS 2027 procedure code

0HBRXZZExcision of Toe Nail, External Approach

✓ Valid for 2027

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 0HBRXZZ

0HBRXZZ is the ICD-10-PCS code for a excision procedure on the toe nail using an external approach. In ICD-10-PCS, excision means cutting out or off, without replacement, a portion of a body part.

In plain terms, this corresponds to removal of nail, nail bed, or nail fold, the ICD-9-CM procedure title it maps to (86.23).

For a different body part, codes include 0HB0XZZ (skin, scalp), 0HB1XZZ (skin, face), 0HB2XZZ (skin, right ear), 0HB3XZZ (skin, left ear), 0HB4XZZ (skin, neck), 0HB5XZZ (skin, chest) and 20 more.

It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.

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
HSkin and Breast
3. Operation
BExcision

Cutting out or off, without replacement, a portion of a body part

The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies

Includes: Partial nephrectomy, liver biopsy

4. Body Part
RToe Nail

Includes: Nail bed; Nail plate

5. Approach
XExternal

Procedures performed directly on the skin or mucous membrane and procedures performed indirectly by the application of external force through the skin or mucous membrane

6. Device
ZNo Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

Different qualifier

ICD-9-CM equivalent

Converter →
  • 86.23Removal of nail, nail bed, or nail foldapproximate

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 0HBRXZZ

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

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

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

The CMS GEMs map 0HBRXZZ to ICD-9-CM 86.23 (Removal of nail, nail bed, or nail fold).