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ICD-10-PCS 2027 procedure code

0CU23KZSupplement Hard Palate with Nonautologous Tissue Substitute, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Short description: Supplement Hard Palate with Nonaut 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 0CU23KZ

0CU23KZ is the ICD-10-PCS code for a supplement procedure on the hard palate using a percutaneous approach with nonautologous 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 other plastic repair of palate, the ICD-9-CM procedure title it maps to (27.69).

For a different body part, codes include 0CU03KZ (upper lip), 0CU13KZ (lower lip), 0CU33KZ (soft palate), 0CU43KZ (buccal mucosa), 0CU53KZ (upper gingiva), 0CU63KZ (lower gingiva) and 2 more.

The same procedure with a different approach is coded 0CU20KZ (open) and 0CU2XKZ (external).

With a different device, use 0CU237Z (autologous tissue substitute) and 0CU23JZ (synthetic 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” and “Other Skin, Subcutaneous Tissue and Breast Procedures”.

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
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
2Hard Palate
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
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 →
  • 27.69Other plastic repair of palateapproximate

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 0CU23KZ

Is 0CU23KZ a valid ICD-10-PCS code for 2027?

Yes. 0CU23KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0CU23KZ an O.R. procedure?

Yes. 0CU23KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0CU23KZ group to?

Depending on the principal diagnosis, 0CU23KZ 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 0CU23KZ?

The CMS GEMs map 0CU23KZ to ICD-9-CM 27.69 (Other plastic repair of palate).