ICD-10-PCS 2027 procedure code
0KRB47ZReplacement of Left Lower Arm and Wrist Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
Short description: Replace L Low Arm & Wrist Muscle w Autol Sub, Perc Endo
Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data
About 0KRB47Z
0KRB47Z is the ICD-10-PCS code for a replacement procedure on the left lower arm and wrist muscle using a percutaneous endoscopic approach with autologous tissue substitute. 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 graft of muscle or fascia, the ICD-9-CM procedure title it maps to (83.82).
For a different body part, codes include 0KR047Z (head muscle), 0KR147Z (facial muscle), 0KR247Z (right neck muscle), 0KR347Z (left neck muscle), 0KR447Z (tongue, palate, pharynx muscle), 0KR547Z (right shoulder muscle) and 21 more.
The same procedure with a different approach is coded 0KRB07Z (open).
With a different device, use 0KRB4JZ (synthetic substitute) and 0KRB4KZ (nonautologous tissue 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 500 (Soft Tissue Procedures with MCC), DRG 501 (Soft Tissue Procedures with CC) and DRG 502 (Soft Tissue Procedures without CC/MCC), under the surgical categories “Peripheral, Cranial Nerve and Other Nervous System Procedures”, “Soft Tissue Procedures”, “Other Skin, Subcutaneous Tissue and Breast Procedures” and 3 more.
It was added in FY2018, effective October 1, 2017.
What each character means
- 1. Section
- 0Medical and Surgical
- 2. Body System
- KMuscles
- 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
- BLower Arm and Wrist Muscle, Left
Includes: Anatomical snuffbox; Anconeus muscle; Brachioradialis muscle; Extensor carpi radialis muscle; Extensor carpi ulnaris muscle; Flexor carpi radialis muscle; Flexor carpi ulnaris muscle; Flexor pollicis longus muscle; Palmaris longus muscle; Pronator quadratus muscle; Pronator teres muscle
- 5. Approach
- 4Percutaneous Endoscopic
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure
- 6. Device
- 7Autologous Tissue Substitute
Includes: Autograft; Cultured epidermal cell autograft; Epicel(R) cultured epidermal autograft
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 0KR047ZHead Muscle
- 0KR147ZFacial Muscle
- 0KR247ZNeck Muscle, Right
- 0KR347ZNeck Muscle, Left
- 0KR447ZTongue, Palate, Pharynx Muscle
- 0KR547ZShoulder Muscle, Right
- 0KR647ZShoulder Muscle, Left
- 0KR747ZUpper Arm Muscle, Right
- 0KR847ZUpper Arm Muscle, Left
- 0KR947ZLower Arm and Wrist Muscle, Right
- 0KRC47ZHand Muscle, Right
- 0KRD47ZHand Muscle, Left
Different approach
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 01 · Diseases and Disorders of the Nervous System · Peripheral, Cranial Nerve and Other Nervous System Procedures
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Soft Tissue Procedures
MDC 09 · Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast · Other Skin, Subcutaneous Tissue and Breast Procedures
MDC 10 · Endocrine, Nutritional and Metabolic Diseases and Disorders · Other Endocrine, Nutritional and Metabolic O.R. Procedures
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →- 83.82Graft of muscle or fasciaapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2018 (effective 10/1/2017): Added
- No changes since FY2018.
Common questions about 0KRB47Z
Is 0KRB47Z a valid ICD-10-PCS code for 2027?
- Yes. 0KRB47Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0KRB47Z an O.R. procedure?
- Yes. 0KRB47Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0KRB47Z group to?
- Depending on the principal diagnosis, 0KRB47Z can group to MS-DRG 040, MS-DRG 041, MS-DRG 042, MS-DRG 500, MS-DRG 501 and MS-DRG 502.
What is the ICD-9 procedure code for 0KRB47Z?
- The CMS GEMs map 0KRB47Z to ICD-9-CM 83.82 (Graft of muscle or fascia).