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ICD-10-PCS 2027 procedure code

0HR9X74Replacement of Perineum Skin with Autologous Tissue Substitute, Partial Thickness, External Approach

✓ Valid for 2027O.R. procedure

Short description: Replace Perineum Skin w Autol Sub, Part Thick, Extern

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 0HR9X74

0HR9X74 is the ICD-10-PCS code for a replacement procedure on the skin, perineum using an external approach with autologous tissue substitute (qualifier: partial thickness). 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 other repair of vulva and perineum, the ICD-9-CM procedure title it maps to (71.79).

For a different body part, codes include 0HR0X74 (skin, scalp), 0HR1X74 (skin, face), 0HR2X74 (skin, right ear), 0HR3X74 (skin, left ear), 0HR4X74 (skin, neck), 0HR5X74 (skin, chest) and 16 more.

With a different device, use 0HR9XJ4 (synthetic substitute) and 0HR9XK4 (nonautologous tissue substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 746 (Vagina, Cervix and Vulva Procedures with CC/MCC), DRG 747 (Vagina, Cervix and Vulva 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 “Vagina, Cervix and Vulva 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
9Skin, Perineum

Includes: Perianal skin

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
7Autologous Tissue Substitute

Includes: Autograft; Cultured epidermal cell autograft; Epicel(R) cultured epidermal autograft

7. Qualifier
4Partial Thickness

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 13 · Diseases and Disorders of the Female Reproductive System · Vagina, Cervix and Vulva Procedures

ICD-9-CM equivalent

Converter →
  • 71.79Other repair of vulva and perineumapproximate

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 0HR9X74

Is 0HR9X74 a valid ICD-10-PCS code for 2027?

Yes. 0HR9X74 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0HR9X74 an O.R. procedure?

Yes. 0HR9X74 is an O.R. procedure in MS-DRG v44.0.

What DRG does 0HR9X74 group to?

Depending on the principal diagnosis, 0HR9X74 can group to MS-DRG 746, MS-DRG 747, MS-DRG 907, MS-DRG 908, MS-DRG 909 and MS-DRG 957.

What is the ICD-9 procedure code for 0HR9X74?

The CMS GEMs map 0HR9X74 to ICD-9-CM 71.79 (Other repair of vulva and perineum).