ICD-10-PCS 2027 procedure code
0XU447ZSupplement Right Axilla with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
Short description: Supplement Right Axilla 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 0XU447Z
0XU447Z is the ICD-10-PCS code for a supplement procedure on the right axilla using a percutaneous endoscopic approach with autologous tissue substitute. In ICD-10-PCS, supplement means putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part.
In plain terms, this corresponds to free skin graft, not otherwise specified, the ICD-9-CM procedure title it maps to (86.60).
For a different body part, codes include 0XU247Z (right shoulder region), 0XU347Z (left shoulder region), 0XU547Z (left axilla), 0XU647Z (right upper extremity), 0XU747Z (left upper extremity), 0XU847Z (right upper arm) and 19 more.
The same procedure with a different approach is coded 0XU407Z (open).
With a different device, use 0XU44JZ (synthetic substitute) and 0XU44KZ (nonautologous tissue substitute).
It is an operating-room procedure in the MS-DRG logic for DRG 463 (Wound Debridement or Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders with MCC or Insertion of Antibiotic-eluting Bone Void Filler), DRG 464 (Wound Debridement or Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders with CC), DRG 465 (Wound Debridement or Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders without CC/MCC), DRG 927 (Extensive Burns or Full Thickness Burns with MV >96 Hours with Skin Graft), DRG 928 (Full Thickness Burn with Skin Graft or Inhalation Injury with CC/MCC) and DRG 929 (Full Thickness Burn with Skin Graft or Inhalation Injury without CC/MCC), under the surgical categories “Wound Debridement or Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders”, “Extensive Burns or Full Thickness Burns with MV >96 Hours” and “Full Thickness Burn”.
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
- XAnatomical Regions, Upper Extremities
- 3. Operation
- USupplement
Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part
The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced, and the Supplement procedure is performed to physically reinforce and/or augment the function of the replaced body part
Includes: Herniorrhaphy using mesh, mitral valve ring annuloplasty, put a new acetabular liner in a previous hip replacement
- 4. Body Part
- 4Axilla, Right
- 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
Different body part
- 0XU247ZShoulder Region, Right
- 0XU347ZShoulder Region, Left
- 0XU547ZAxilla, Left
- 0XU647ZUpper Extremity, Right
- 0XU747ZUpper Extremity, Left
- 0XU847ZUpper Arm, Right
- 0XU947ZUpper Arm, Left
- 0XUB47ZElbow Region, Right
- 0XUC47ZElbow Region, Left
- 0XUD47ZLower Arm, Right
- 0XUF47ZLower Arm, Left
- 0XUG47ZWrist Region, Right
Different approach
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Wound Debridement or Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
- 463Wound Debridement or Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders with MCC or Insertion of Antibiotic-eluting Bone Void FillerRW 5.1296
- 464Wound Debridement or Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders with CCRW 3.1764
- 465Wound Debridement or Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders without CC/MCCRW 2.4822
MDC 22 · Burns · Extensive Burns or Full Thickness Burns with MV >96 Hours
ICD-9-CM equivalent
Converter →- 86.60Free skin graft, not otherwise specifiedapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 0XU447Z
Is 0XU447Z a valid ICD-10-PCS code for 2027?
- Yes. 0XU447Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0XU447Z an O.R. procedure?
- Yes. 0XU447Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0XU447Z group to?
- Depending on the principal diagnosis, 0XU447Z can group to MS-DRG 463, MS-DRG 464, MS-DRG 465, MS-DRG 927, MS-DRG 928 and MS-DRG 929.
What is the ICD-9 procedure code for 0XU447Z?
- The CMS GEMs map 0XU447Z to ICD-9-CM 86.60 (Free skin graft, not otherwise specified).