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ICD-10-PCS 2027 procedure code

0HR4XJ3Replacement of Neck Skin with Synthetic Substitute, Full Thickness, External Approach

✓ Valid for 2027O.R. procedure

Short description: Replace Neck Skin w Synth Sub, Full Thick, Extern

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 0HR4XJ3

0HR4XJ3 is the ICD-10-PCS code for a replacement procedure on the skin, neck using an external approach with synthetic substitute (qualifier: full thickness). 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 dermal regenerative graft, the ICD-9-CM procedure title it maps to (86.67).

For a different body part, codes include 0HR0XJ3 (skin, scalp), 0HR1XJ3 (skin, face), 0HR2XJ3 (skin, right ear), 0HR3XJ3 (skin, left ear), 0HR5XJ3 (skin, chest), 0HR6XJ3 (skin, back) and 16 more.

With a different device, use 0HR4X73 (autologous tissue substitute) and 0HR4XK3 (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”, “Wound Debridement or Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders” and 6 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
HSkin and Breast
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
4Skin, Neck
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
JSynthetic Substitute

Includes: AbioCor(R) Total Replacement Heart; AMPLATZER(R) Muscular VSD Occluder; Annuloplasty ring; Bard(R) Composix(R) (E/X)(LP) mesh; Bard(R) Composix(R) Kugel(R) patch; Bard(R) Dulex(tm) mesh; Bard(R) Ventralex(tm) hernia patch; Barricaid(R) Annular Closure Device (ACD); BRYAN(R) Cervical Disc System; Corvia IASD(R); Ex-PRESS(tm) mini glaucoma shunt; Flexible Composite Mesh; GORE(R) ACUSEAL Vascular Graft; GORE(R) CARDIOFORM Septal Occluder; GORE(R) DUALMESH(R); GORE(R) PROPATEN(R) Vascular Graft; GORE(R) VIATORR(R) TIPS Endoprosthesis; Holter valve ventricular shunt; IASD(R) (InterAtrial Shunt Device), Corvia; InterAtrial Shunt Device IASD(R), Corvia; LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System; MitraClip valve repair system; Nitinol framed polymer mesh; Open Pivot (mechanical) valve; Open Pivot Aortic Valve Graft (AVG); Partially absorbable mesh; PHYSIOMESH(tm) Flexible Composite Mesh; Polymethylmethacrylate (PMMA); Polypropylene mesh; PRESTIGE(R) Cervical Disc; PROCEED(tm) Ventral Patch; Prodisc-C; Prodisc-L; PROLENE Polypropylene Hernia System (PHS); Rebound HRD(R) (Hernia Repair Device); SynCardia Total Artificial Heart; Total artificial (replacement) heart; ULTRAPRO Hernia System (UHS); ULTRAPRO Partially Absorbable Lightweight Mesh; ULTRAPRO Plug; V-Wave Interatrial Shunt System; Ventrio(tm) Hernia Patch; Zimmer(R) NexGen(R) LPS Mobile Bearing Knee; Zimmer(R) NexGen(R) LPS-Flex Mobile Knee

7. Qualifier
3Full Thickness

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.

MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Skin Grafts for Injuries

MDC 22 · Burns · Extensive Burns or Full Thickness Burns with MV >96 Hours

ICD-9-CM equivalent

Converter →
  • 86.67Dermal regenerative graftapproximate

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 0HR4XJ3

Is 0HR4XJ3 a valid ICD-10-PCS code for 2027?

Yes. 0HR4XJ3 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0HR4XJ3 an O.R. procedure?

Yes. 0HR4XJ3 is an O.R. procedure in MS-DRG v44.0.

What DRG does 0HR4XJ3 group to?

Depending on the principal diagnosis, 0HR4XJ3 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 0HR4XJ3?

The CMS GEMs map 0HR4XJ3 to ICD-9-CM 86.67 (Dermal regenerative graft).