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ICD-10-PCS 2027 procedure code

0NRT0KZReplacement of Right Mandible with Nonautologous Tissue Substitute, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Replacement of Right Mandible with Nonaut Sub, Open 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 0NRT0KZ

0NRT0KZ is the ICD-10-PCS code for a replacement procedure on the right mandible using an open approach with nonautologous 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 total mandibulectomy with synchronous reconstruction, the ICD-9-CM procedure title it maps to (76.41).

For a different body part, codes include 0NR00KZ (skull), 0NR10KZ (frontal bone), 0NR30KZ (right parietal bone), 0NR40KZ (left parietal bone), 0NR50KZ (right temporal bone), 0NR60KZ (left temporal bone) and 16 more.

The same procedure with a different approach is coded 0NRT3KZ (percutaneous) and 0NRT4KZ (percutaneous endoscopic).

With a different device, use 0NRT07Z (autologous tissue substitute) and 0NRT0JZ (synthetic substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 140 (Major Head and Neck Procedures with MCC), DRG 141 (Major Head and Neck Procedures with CC), DRG 142 (Major Head and Neck Procedures without CC/MCC), DRG 515 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC), DRG 516 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC) and DRG 517 (Other Musculoskeletal System and Connective Tissue O.R. Procedures without CC/MCC), under the surgical categories “Major Head and Neck Procedures”, “Other Musculoskeletal System and Connective Tissue O.R. Procedures”, “Other O.R. Procedures for Injuries” and 1 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
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
TMandible, Right
5. Approach
0Open

Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

6. Device
KNonautologous Tissue Substitute

Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft

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 →
  • 76.41Total mandibulectomy with synchronous reconstructionapproximate

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 0NRT0KZ

Is 0NRT0KZ a valid ICD-10-PCS code for 2027?

Yes. 0NRT0KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0NRT0KZ an O.R. procedure?

Yes. 0NRT0KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0NRT0KZ group to?

Depending on the principal diagnosis, 0NRT0KZ can group to MS-DRG 140, MS-DRG 141, MS-DRG 142, MS-DRG 515, MS-DRG 516 and MS-DRG 517.

What is the ICD-9 procedure code for 0NRT0KZ?

The CMS GEMs map 0NRT0KZ to ICD-9-CM 76.41 (Total mandibulectomy with synchronous reconstruction).