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ICD-10-PCS 2027 procedure code

0X0447ZAlteration of Right Axilla with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Alteration of R Axilla 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 0X0447Z

0X0447Z is the ICD-10-PCS code for a alteration procedure on the right axilla using a percutaneous endoscopic approach with autologous tissue substitute. In ICD-10-PCS, alteration means modifying the anatomic structure of a body part without affecting the function of the body part.

In plain terms, this corresponds to size reduction plastic operation, the ICD-9-CM procedure title it maps to (86.83).

For a different body part, codes include 0X0247Z (right shoulder region), 0X0347Z (left shoulder region), 0X0547Z (left axilla), 0X0647Z (right upper extremity), 0X0747Z (left upper extremity), 0X0847Z (right upper arm) and 7 more.

The same procedure with a different approach is coded 0X0407Z (open) and 0X0437Z (percutaneous).

With a different device, use 0X044JZ (synthetic substitute), 0X044KZ (nonautologous tissue substitute) and 0X044ZZ (no device).

It is an operating-room procedure in the MS-DRG logic for DRG 579 (Other Skin, Subcutaneous Tissue and Breast Procedures with MCC), DRG 580 (Other Skin, Subcutaneous Tissue and Breast Procedures with CC), DRG 581 (Other Skin, Subcutaneous Tissue and Breast Procedures without CC/MCC), DRG 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC) and DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), under the surgical categories “Other Skin, Subcutaneous Tissue and Breast Procedures” and “Other O.R. Procedures for Injuries”.

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
XAnatomical Regions, Upper Extremities
3. Operation
0Alteration

Modifying the anatomic structure of a body part without affecting the function of the body part

Principal purpose is to improve appearance

Includes: Face lift, breast augmentation

4. Body Part
4Axilla, 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

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 →
  • 86.83Size reduction plastic operationapproximate

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 0X0447Z

Is 0X0447Z a valid ICD-10-PCS code for 2027?

Yes. 0X0447Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0X0447Z an O.R. procedure?

Yes. 0X0447Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0X0447Z group to?

Depending on the principal diagnosis, 0X0447Z can group to MS-DRG 579, MS-DRG 580, MS-DRG 581, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 0X0447Z?

The CMS GEMs map 0X0447Z to ICD-9-CM 86.83 (Size reduction plastic operation).