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ICD-10-PCS 2027 procedure code

0NRQ47ZReplacement of Left Orbit with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Replacement of Left Orbit with Autol Sub, Perc Endo 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 0NRQ47Z

0NRQ47Z is the ICD-10-PCS code for a replacement procedure on the left orbit using a percutaneous 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 orbitotomy with bone flap, the ICD-9-CM procedure title it maps to (16.01).

For a different body part, codes include 0NR047Z (skull), 0NR147Z (frontal bone), 0NR347Z (right parietal bone), 0NR447Z (left parietal bone), 0NR547Z (right temporal bone), 0NR647Z (left temporal bone) and 16 more.

The same procedure with a different approach is coded 0NRQ07Z (open) and 0NRQ37Z (percutaneous).

With a different device, use 0NRQ4JZ (synthetic substitute) and 0NRQ4KZ (nonautologous tissue substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 113 (Orbital Procedures with CC/MCC), DRG 114 (Orbital 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), DRG 145 (Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC) and DRG 907 (Other O.R. Procedures for Injuries with MCC), under the surgical categories “Orbital 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
NHead and Facial Bones
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
QOrbit, Left

Includes: Bony orbit; Orbital portion of ethmoid bone; Orbital portion of frontal bone; Orbital portion of lacrimal bone; Orbital portion of maxilla; Orbital portion of palatine bone; Orbital portion of sphenoid bone; Orbital portion of zygomatic bone

5. Approach
4Percutaneous Endoscopic

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary 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

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

MDC 02 · Diseases and Disorders of the Eye · Orbital Procedures

ICD-9-CM equivalent

Converter →
  • 16.01Orbitotomy with bone flapapproximate

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 0NRQ47Z

Is 0NRQ47Z a valid ICD-10-PCS code for 2027?

Yes. 0NRQ47Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0NRQ47Z an O.R. procedure?

Yes. 0NRQ47Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0NRQ47Z group to?

Depending on the principal diagnosis, 0NRQ47Z can group to MS-DRG 113, MS-DRG 114, MS-DRG 143, MS-DRG 144, MS-DRG 145 and MS-DRG 907.

What is the ICD-9 procedure code for 0NRQ47Z?

The CMS GEMs map 0NRQ47Z to ICD-9-CM 16.01 (Orbitotomy with bone flap).