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ICD-10-PCS 2027 procedure code

0NRC47ZReplacement of Sphenoid Bone with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Replace of Sphenoid Bone with Autol Sub, Perc Endo Approach

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 0NRC47Z

0NRC47Z is the ICD-10-PCS code for a replacement procedure on the sphenoid bone 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 bone graft to facial bone, the ICD-9-CM procedure title it maps to (76.91).

For a different body part, codes include 0NR047Z (skull), 0NR147Z (frontal bone), 0NR347Z (right parietal bone), 0NR447Z (left parietal bone), 0NR547Z (right temporal bone), 0NR647Z (left temporal bone) and 16 more.

The same procedure with a different approach is coded 0NRC07Z (open) and 0NRC37Z (percutaneous).

With a different device, use 0NRC4JZ (synthetic substitute) and 0NRC4KZ (nonautologous tissue substitute).

It is an operating-room procedure in the MS-DRG logic for 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 category “Other Ear, Nose, Mouth and Throat O.R. Procedures”.

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
NHead and Facial Bones
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
CSphenoid Bone

Includes: Greater wing; Lesser wing; Optic foramen; Pterygoid process; Sella turcica

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

MS-DRG v44.0 grouping

All DRGs →

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

ICD-9-CM equivalent

Converter →
  • 76.91Bone graft to facial boneapproximate

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)
  • FY2018 (effective 10/1/2017): Title revised — was “Replacement of Right Sphenoid Bone with Autologous Tissue Substitute, Percutaneous Endoscopic Approach”

Common questions about 0NRC47Z

Is 0NRC47Z a valid ICD-10-PCS code for 2027?

Yes. 0NRC47Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0NRC47Z an O.R. procedure?

Yes. 0NRC47Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0NRC47Z group to?

Depending on the principal diagnosis, 0NRC47Z can group to MS-DRG 143, MS-DRG 144 and MS-DRG 145.

What is the ICD-9 procedure code for 0NRC47Z?

The CMS GEMs map 0NRC47Z to ICD-9-CM 76.91 (Bone graft to facial bone).