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ICD-10-PCS 2027 procedure code

0HDRXZZExtraction 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 0HDRXZZ

0HDRXZZ is the ICD-10-PCS code for a extraction procedure on the toe nail using an external approach. In ICD-10-PCS, extraction means pulling or stripping out or off all or a portion of a body part by the use of force.

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 0HD0XZZ (skin, scalp), 0HD1XZZ (skin, face), 0HD2XZZ (skin, right ear), 0HD3XZZ (skin, left ear), 0HD4XZZ (skin, neck), 0HD5XZZ (skin, chest) and 19 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
DExtraction

Pulling or stripping out or off all or a portion of a body part by the use of force

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

Includes: Dilation and curettage, vein stripping

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

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 0HDRXZZ

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

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

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

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