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ICD-10-PCS 2027 procedure code

XNR80D9Replacement of Skull with Ultrasound Penetrable Synthetic Substitute, Open Approach, New Technology Group 9

✓ Valid for 2027O.R. procedure

Short description: Replace Skull w Synthet Sub, US Penetrable, Open, New Tech 9

Code last changed in FY2024 (effective October 1, 2023). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About XNR80D9

XNR80D9 is the ICD-10-PCS code for a replacement procedure on the skull using an open approach with synthetic substitute, ultrasound penetrable (qualifier: new technology group 9). 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.

It is an operating-room procedure in the MS-DRG logic for DRG 023 (Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Antineoplastic Implant or Epilepsy with Neurostimulator), DRG 024 (Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCC), DRG 025 (Craniotomy and Endovascular Intracranial Procedures with MCC), DRG 026 (Craniotomy and Endovascular Intracranial Procedures with CC), DRG 027 (Craniotomy and Endovascular Intracranial Procedures without CC/MCC) and DRG 143 (Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC), under the surgical categories “Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis”, “Craniotomy and endovascular intracranial procedures”, “Other Ear, Nose, Mouth and Throat O.R. Procedures” and 4 more.

It was added in FY2024, effective October 1, 2023.

What each character means

1. Section
XNew Technology
2. Body System
NBones
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

4. Body Part
8Skull
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 / Substance / Technology
DSynthetic Substitute, Ultrasound Penetrable
7. Qualifier
9New Technology Group 9

MS-DRG v44.0 grouping

All DRGs →

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

MDC 24 · Multiple Significant Trauma · Craniotomy for Multiple Significant Trauma

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
  • FY2024 (effective 10/1/2023): Added
  • No changes since FY2024.

Common questions about XNR80D9

Is XNR80D9 a valid ICD-10-PCS code for 2027?

Yes. XNR80D9 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is XNR80D9 an O.R. procedure?

Yes. XNR80D9 is an O.R. procedure in MS-DRG v44.0.

What DRG does XNR80D9 group to?

Depending on the principal diagnosis, XNR80D9 can group to MS-DRG 023, MS-DRG 024, MS-DRG 025, MS-DRG 026, MS-DRG 027 and MS-DRG 143.