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ICD-10-PCS 2027 procedure code

0HR9XK3Replacement of Perineum Skin with Nonautologous Tissue Substitute, Full Thickness, External Approach

✓ Valid for 2027O.R. procedure

Short description: Replace Perineum Skin w Nonaut Sub, Full 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 0HR9XK3

0HR9XK3 is the ICD-10-PCS code for a replacement procedure on the skin, perineum using an external approach with nonautologous tissue substitute (qualifier: full 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 0HR0XK3 (skin, scalp), 0HR1XK3 (skin, face), 0HR2XK3 (skin, right ear), 0HR3XK3 (skin, left ear), 0HR4XK3 (skin, neck), 0HR5XK3 (skin, chest) and 16 more.

With a different device, use 0HR9X73 (autologous tissue substitute) and 0HR9XJ3 (synthetic 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
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
3Full Thickness

Other versions of this procedure

Different qualifier

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 0HR9XK3

Is 0HR9XK3 a valid ICD-10-PCS code for 2027?

Yes. 0HR9XK3 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0HR9XK3 an O.R. procedure?

Yes. 0HR9XK3 is an O.R. procedure in MS-DRG v44.0.

What DRG does 0HR9XK3 group to?

Depending on the principal diagnosis, 0HR9XK3 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 0HR9XK3?

The CMS GEMs map 0HR9XK3 to ICD-9-CM 71.79 (Other repair of vulva and perineum).