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ICD-10-PCS 2027 procedure code

0HTRXZZResection of Toe Nail, External Approach

✓ Valid for 2027

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 0HTRXZZ

0HTRXZZ is the ICD-10-PCS code for a resection procedure on the toe nail using an external approach. In ICD-10-PCS, resection means cutting out or off, without replacement, all of a body part.

In plain terms, this corresponds to removal of nail, nail bed, or nail fold, the ICD-9-CM procedure title it maps to (86.23).

For a different body part, codes include 0HTQXZZ (finger nail), 0HTWXZZ (right nipple) and 0HTXXZZ (left nipple).

It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.

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
TResection

Cutting out or off, without replacement, all of a body part

Includes: Total nephrectomy, total lobectomy of lung

4. Body Part
RToe Nail

Includes: Nail bed; Nail plate

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
ZNo Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

ICD-9-CM equivalent

Converter →
  • 86.23Removal of nail, nail bed, or nail foldapproximate

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 0HTRXZZ

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

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

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

The CMS GEMs map 0HTRXZZ to ICD-9-CM 86.23 (Removal of nail, nail bed, or nail fold).