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ICD-10-PCS 2027 procedure code

0KRM47ZReplacement of Perineum Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Replace Perineum 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 0KRM47Z

0KRM47Z is the ICD-10-PCS code for a replacement procedure on the perineum 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 0KRM07Z (open).

With a different device, use 0KRM4JZ (synthetic substitute) and 0KRM4KZ (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 2 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
MPerineum Muscle

Includes: Bulbospongiosus muscle; Cremaster muscle; Deep transverse perineal muscle; Ischiocavernosus muscle; Levator ani muscle; Superficial transverse perineal 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 approach

MS-DRG v44.0 grouping

All DRGs →

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

MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Soft Tissue Procedures

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

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2018 (effective 10/1/2017): Added
  • No changes since FY2018.

Common questions about 0KRM47Z

Is 0KRM47Z a valid ICD-10-PCS code for 2027?

Yes. 0KRM47Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0KRM47Z an O.R. procedure?

Yes. 0KRM47Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0KRM47Z group to?

Depending on the principal diagnosis, 0KRM47Z 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 0KRM47Z?

The CMS GEMs map 0KRM47Z to ICD-9-CM 83.82 (Graft of muscle or fascia).