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ICD-10-PCS 2027 procedure code

0XRM47PReplacement of Left Thumb with Left Toe, Autologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Replace of L Thumb with L Toe, 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 0XRM47P

0XRM47P is the ICD-10-PCS code for a replacement procedure on the left thumb using a percutaneous endoscopic approach with autologous tissue substitute (qualifier: left toe). 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 other reconstruction of thumb, the ICD-9-CM procedure title it maps to (82.69).

For a different body part, codes include 0XRL47P (right thumb).

The same procedure with a different approach is coded 0XRM07P (open).

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 506 (Major Thumb or Joint Procedures), DRG 906 (Hand Procedures for Injuries) and DRG 957 (Other O.R. Procedures for Multiple Significant Trauma with MCC), under the surgical categories “Peripheral, Cranial Nerve and Other Nervous System Procedures”, “Major Thumb or Joint Procedures”, “Hand 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
XAnatomical Regions, Upper Extremities
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
MThumb, Left
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
PToe, Left

Other versions of this procedure

Different body part

Different approach

Different qualifier

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 · Major Thumb or Joint Procedures

MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Hand Procedures for Injuries

ICD-9-CM equivalent

Converter →
  • 82.69Other reconstruction of thumbapproximate

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 0XRM47P

Is 0XRM47P a valid ICD-10-PCS code for 2027?

Yes. 0XRM47P is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0XRM47P an O.R. procedure?

Yes. 0XRM47P is an O.R. procedure in MS-DRG v44.0.

What DRG does 0XRM47P group to?

Depending on the principal diagnosis, 0XRM47P can group to MS-DRG 040, MS-DRG 041, MS-DRG 042, MS-DRG 506, MS-DRG 906 and MS-DRG 957.

What is the ICD-9 procedure code for 0XRM47P?

The CMS GEMs map 0XRM47P to ICD-9-CM 82.69 (Other reconstruction of thumb).