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ICD-10-PCS 2027 procedure code

0HRQXKZReplacement of Finger Nail with Nonautologous Tissue Substitute, External Approach

✓ Valid for 2027O.R. procedure

Short description: Replacement of Finger Nail with Nonaut Sub, Extern 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 0HRQXKZ

0HRQXKZ is the ICD-10-PCS code for a replacement procedure on the finger nail using an external 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 Onychoplasty, the ICD-9-CM procedure title it maps to (86.86).

For a different body part, codes include 0HRRXKZ (toe nail), 0HRSXKZ (hair), 0HRWXKZ (right nipple) and 0HRXXKZ (left nipple).

With a different device, use 0HRQX7Z (autologous tissue substitute) and 0HRQXJZ (synthetic substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 579 (Other Skin, Subcutaneous Tissue and Breast Procedures with MCC), DRG 580 (Other Skin, Subcutaneous Tissue and Breast Procedures with CC), DRG 581 (Other Skin, Subcutaneous Tissue and Breast Procedures without CC/MCC), DRG 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC) and DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), under the surgical categories “Other Skin, Subcutaneous Tissue and Breast Procedures”, “Other O.R. Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.

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
QFinger 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
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 →
  • 86.86Onychoplastyapproximate

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 0HRQXKZ

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

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

Is 0HRQXKZ an O.R. procedure?

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

What DRG does 0HRQXKZ group to?

Depending on the principal diagnosis, 0HRQXKZ can group to MS-DRG 579, MS-DRG 580, MS-DRG 581, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

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

The CMS GEMs map 0HRQXKZ to ICD-9-CM 86.86 (Onychoplasty).