ICD-10-PCS 2027 procedure code
0LR747ZReplacement of Right Hand Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
Short description: Replace of R Hand Tendon with Autol Sub, Perc Endo Approach
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 0LR747Z
0LR747Z is the ICD-10-PCS code for a replacement procedure on the right hand tendon 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 plastic operation on hand with other graft or implant, the ICD-9-CM procedure title it maps to (82.79).
For a different body part, codes include 0LR047Z (head and neck tendon), 0LR147Z (right shoulder tendon), 0LR247Z (left shoulder tendon), 0LR347Z (right upper arm tendon), 0LR447Z (left upper arm tendon), 0LR547Z (right lower arm and wrist tendon) and 21 more.
The same procedure with a different approach is coded 0LR707Z (open).
With a different device, use 0LR74JZ (synthetic substitute) and 0LR74KZ (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 513 (Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with CC/MCC), DRG 514 (Hand or Wrist Procedures, Except Major Thumb or Joint Procedures without CC/MCC) and DRG 579 (Other Skin, Subcutaneous Tissue and Breast Procedures with MCC), under the surgical categories “Peripheral, Cranial Nerve and Other Nervous System Procedures”, “Hand or Wrist Procedures, Except Major Thumb or Joint Procedures”, “Other Skin, Subcutaneous Tissue and Breast Procedures” and 2 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
- LTendons
- 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
- 7Hand Tendon, Right
- 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
- 0LR047ZHead and Neck Tendon
- 0LR147ZShoulder Tendon, Right
- 0LR247ZShoulder Tendon, Left
- 0LR347ZUpper Arm Tendon, Right
- 0LR447ZUpper Arm Tendon, Left
- 0LR547ZLower Arm and Wrist Tendon, Right
- 0LR647ZLower Arm and Wrist Tendon, Left
- 0LR847ZHand Tendon, Left
- 0LR947ZTrunk Tendon, Right
- 0LRB47ZTrunk Tendon, Left
- 0LRC47ZThorax Tendon, Right
- 0LRD47ZThorax Tendon, 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 · Hand or Wrist Procedures, Except Major Thumb or Joint Procedures
MDC 09 · Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast · Other Skin, Subcutaneous Tissue and Breast Procedures
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Hand Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →- 82.79Plastic operation on hand with other graft or implantapproximate
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
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 0LR747Z
Is 0LR747Z a valid ICD-10-PCS code for 2027?
- Yes. 0LR747Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0LR747Z an O.R. procedure?
- Yes. 0LR747Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 0LR747Z group to?
- Depending on the principal diagnosis, 0LR747Z can group to MS-DRG 040, MS-DRG 041, MS-DRG 042, MS-DRG 513, MS-DRG 514 and MS-DRG 579.
What is the ICD-9 procedure code for 0LR747Z?
- The CMS GEMs map 0LR747Z to ICD-9-CM 82.79 (Plastic operation on hand with other graft or implant).