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ICD-10-PCS 2027 procedure code

XNRL099Replacement of Right Tarsal with Talar Prosthesis Synthetic Substitute, Open Approach, New Technology Group 9

✓ Valid for 2027O.R. procedure

Short description: Replace R Tarsal w Talar Prosthesis, 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 XNRL099

XNRL099 is the ICD-10-PCS code for a replacement procedure on the right tarsal using an open approach with synthetic substitute, talar prosthesis (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.

For a different body part, codes include XNRM099 (left tarsal).

It is an operating-room procedure in the MS-DRG logic for DRG 503 (Foot Procedures with MCC), DRG 504 (Foot Procedures with CC), DRG 505 (Foot 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 “Foot Procedures”, “Other O.R. Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.

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
LTarsal, 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 / Substance / Technology
9Synthetic Substitute, Talar Prosthesis
7. Qualifier
9New Technology Group 9

Other versions of this procedure

Different body part

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 · Foot Procedures

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 XNRL099

Is XNRL099 a valid ICD-10-PCS code for 2027?

Yes. XNRL099 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is XNRL099 an O.R. procedure?

Yes. XNRL099 is an O.R. procedure in MS-DRG v44.0.

What DRG does XNRL099 group to?

Depending on the principal diagnosis, XNRL099 can group to MS-DRG 503, MS-DRG 504, MS-DRG 505, MS-DRG 907, MS-DRG 908 and MS-DRG 909.