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ICD-10-PCS 2027 procedure code

0HX4XZZTransfer Neck Skin, External Approach

✓ Valid for 2027O.R. procedure

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 0HX4XZZ

0HX4XZZ is the ICD-10-PCS code for a transfer procedure on the skin, neck using an external approach. In ICD-10-PCS, transfer means moving, without taking out, all or a portion of a body part to another location to take over the function of all or a portion of a body part.

In plain terms, this corresponds to advancement of pedicle graft and attachment of pedicle or flap graft to other sites, the ICD-9-CM procedure titles it maps to (86.72 and 86.74).

For a different body part, codes include 0HX0XZZ (skin, scalp), 0HX1XZZ (skin, face), 0HX2XZZ (skin, right ear), 0HX3XZZ (skin, left ear), 0HX5XZZ (skin, chest), 0HX6XZZ (skin, back) and 16 more.

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”, “Other Circulatory System O.R. Procedures” and 8 more.

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
XTransfer

Moving, without taking out, all or a portion of a body part to another location to take over the function of all or a portion of a body part

The body part transferred remains connected to its vascular and nervous supply

Includes: Tendon transfer, skin pedicle flap transfer

4. Body Part
4Skin, Neck
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

MS-DRG v44.0 grouping

All DRGs →

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

MDC 05 · Diseases and Disorders of the Circulatory System · Other Circulatory System O.R. Procedures

MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Skin Grafts for Injuries

MDC 22 · Burns · Extensive Burns or Full Thickness Burns with MV >96 Hours

ICD-9-CM equivalent

Converter →
  • 86.72Advancement of pedicle graftapproximate
  • 86.74Attachment of pedicle or flap graft to other sitesapproximate

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 0HX4XZZ

Is 0HX4XZZ a valid ICD-10-PCS code for 2027?

Yes. 0HX4XZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0HX4XZZ an O.R. procedure?

Yes. 0HX4XZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0HX4XZZ group to?

Depending on the principal diagnosis, 0HX4XZZ 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 0HX4XZZ?

The CMS GEMs map 0HX4XZZ to ICD-9-CM 86.72 (Advancement of pedicle graft) and 86.74 (Attachment of pedicle or flap graft to other sites).