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ICD-10-PCS 2027 procedure code

0CR637ZReplacement of Lower Gingiva with Autologous Tissue Substitute, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Short description: Replacement of Lower Gingiva with Autol Sub, Perc 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 0CR637Z

0CR637Z is the ICD-10-PCS code for a replacement procedure on the lower gingiva using a percutaneous 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 Gingivoplasty, the ICD-9-CM procedure title it maps to (24.2).

For a different body part, codes include 0CR037Z (upper lip), 0CR137Z (lower lip), 0CR237Z (hard palate), 0CR337Z (soft palate), 0CR437Z (buccal mucosa), 0CR537Z (upper gingiva) and 4 more.

The same procedure with a different approach is coded 0CR607Z (open) and 0CR6X7Z (external).

With a different device, use 0CR63JZ (synthetic substitute) and 0CR63KZ (nonautologous tissue substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 137 (Mouth Procedures with CC/MCC), DRG 138 (Mouth Procedures without CC/MCC), DRG 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC), DRG 909 (Other O.R. Procedures for Injuries without CC/MCC) and DRG 957 (Other O.R. Procedures for Multiple Significant Trauma with MCC), under the surgical categories “Mouth 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
CMouth and Throat
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
6Lower Gingiva
5. Approach
3Percutaneous

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

MS-DRG v44.0 grouping

All DRGs →

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

MDC 03 · Diseases and Disorders of the Ear, Nose, Mouth and Throat · Mouth Procedures

ICD-9-CM equivalent

Converter →
  • 24.2Gingivoplastyapproximate

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 0CR637Z

Is 0CR637Z a valid ICD-10-PCS code for 2027?

Yes. 0CR637Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0CR637Z an O.R. procedure?

Yes. 0CR637Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0CR637Z group to?

Depending on the principal diagnosis, 0CR637Z can group to MS-DRG 137, MS-DRG 138, MS-DRG 907, MS-DRG 908, MS-DRG 909 and MS-DRG 957.

What is the ICD-9 procedure code for 0CR637Z?

The CMS GEMs map 0CR637Z to ICD-9-CM 24.2 (Gingivoplasty).