0H5RXZZ ICD-10-PCS Code: Destruction of Toe Nail, External Approach
Axis Breakdown
Every ICD-10-PCS code is exactly seven characters, one per axis. Each character's meaning is defined by its position in the code.
| Position | Value | Meaning |
|---|---|---|
| 1 | Section0 | Medical and Surgical |
| 2 | Body SystemH | Skin and Breast |
| 3 | Root Operation5 | Destruction Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent |
| 4 | Body PartR | Toe Nail |
| 5 | ApproachX | External |
| 6 | DeviceZ | No Device |
| 7 | QualifierZ | No Qualifier |
MS-DRG Grouper Relationships (FY2026)
Potential MS-DRG participation — not a DRG assignment.
The MS-DRG grouper treats this as a non-operating-room procedure. It appears in the surgical logic of 3 MS-DRGs:
From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.
Related Codes
Same operation — other Body Part
Same table and root operation, differing only in the body part character.
0H5JXZZ — Destruction of Left Upper Leg Skin, External Approach, 0H5KXZZ — Destruction of Right Lower Leg Skin, External Approach, 0H5LXZZ — Destruction of Left Lower Leg Skin, External Approach, 0H5MXZZ — Destruction of Right Foot Skin, External Approach, 0H5NXZZ — Destruction of Left Foot Skin, External Approach, 0H5QXZZ — Destruction of Finger Nail, External Approach, 0H5WXZZ — Destruction of Right Nipple, External Approach, 0H5XXZZ — Destruction of Left Nipple, External Approach, +18 more
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Nail procedures (Skin and Breast Procedures); listed here are the members in other PCS tables. Source: Clinical Classifications Software Refined (CCSR), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, November 2025.
0H9QX0Z — Drainage of Finger Nail with Drainage Device, External Approach, 0H9QXZX — Drainage of Finger Nail, External Approach, Diagnostic, 0H9QXZZ — Drainage of Finger Nail, External Approach, 0H9RX0Z — Drainage of Toe Nail with Drainage Device, External Approach, 0H9RXZX — Drainage of Toe Nail, External Approach, Diagnostic, 0H9RXZZ — Drainage of Toe Nail, External Approach, 0HBQXZX — Excision of Finger Nail, External Approach, Diagnostic, 0HBQXZZ — Excision of Finger Nail, External Approach, 0HBRXZX — Excision of Toe Nail, External Approach, Diagnostic, 0HBRXZZ — Excision of Toe Nail, External Approach, 0HCQXZZ — Extirpation of Matter from Finger Nail, External Approach, 0HCRXZZ — Extirpation of Matter from Toe Nail, External Approach, 0HDQXZZ — Extraction of Finger Nail, External Approach, 0HDRXZZ — Extraction of Toe Nail, External Approach, 0HJQXZZ — Inspection of Finger Nail, External Approach, 0HJRXZZ — Inspection of Toe Nail, External Approach, 0HNQXZZ — Release Finger Nail, External Approach, 0HNRXZZ — Release Toe Nail, External Approach, 0HPQX0Z — Removal of Drainage Device from Finger Nail, External Approach, 0HPQX7Z — Removal of Autologous Tissue Substitute from Finger Nail, External Approach, +24 more
Contextual Map
Every relationship of 0H5RXZZ in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run 0H5RXZZ with these 5 related codes in Claim Check
PCS table
- 0H5[PCS table]— CMS ICD-10-PCS tables
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
- Skin and Breast — Body System: Skin and Breast[Body System]: “Skin and Breast”— CMS ICD-10-PCS tables
- Destruction — Operation: Destruction[Operation]: “Destruction”— CMS ICD-10-PCS tables
MS-DRG participation
- DRG 579 — OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC[MS-DRG]: “OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC — Other Skin, Subcutaneous Tissue and Breast Procedures (MDC 09)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 580 — OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC[MS-DRG]: “OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC — Other Skin, Subcutaneous Tissue and Breast Procedures (MDC 09)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 581 — OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC[MS-DRG]: “OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC — Other Skin, Subcutaneous Tissue and Breast Procedures (MDC 09)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
Clinical classification (CCSR)
- SKB009 — Nail procedures[CCSR category]: “Nail procedures — Skin and Breast Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
MDC crossing · diagnoses (5441)
- MDC 09 — Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast[MDC crossing]: “Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2026
- A06.7 — Cutaneous amebiasis[Same-MDC diagnosis]: “Cutaneous amebiasis — grouped in MDC 09, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A18.4 — Tuberculosis of skin and subcutaneous tissue[Same-MDC diagnosis]: “Tuberculosis of skin and subcutaneous tissue — grouped in MDC 09, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A22.0 — Cutaneous anthrax[Same-MDC diagnosis]: “Cutaneous anthrax — grouped in MDC 09, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A31.1 — Cutaneous mycobacterial infection[Same-MDC diagnosis]: “Cutaneous mycobacterial infection — grouped in MDC 09, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A36.3 — Cutaneous diphtheria[Same-MDC diagnosis]: “Cutaneous diphtheria — grouped in MDC 09, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- and 5436 more
Nearest codes
- 0H50XZZ — Destruction of Scalp Skin, External Approach[One axis away]— CMS ICD-10-PCS tables
- 0H51XZZ — Destruction of Face Skin, External Approach[One axis away]— CMS ICD-10-PCS tables
- 0H52XZZ — Destruction of Right Ear Skin, External Approach[One axis away]— CMS ICD-10-PCS tables
- 0H53XZZ — Destruction of Left Ear Skin, External Approach[One axis away]— CMS ICD-10-PCS tables
- 0H54XZZ — Destruction of Neck Skin, External Approach[One axis away]— CMS ICD-10-PCS tables
- 0H55XZZ — Destruction of Chest Skin, External Approach[One axis away]— CMS ICD-10-PCS tables
- 0H56XZZ — Destruction of Back Skin, External Approach[One axis away]— CMS ICD-10-PCS tables
- 0H57XZZ — Destruction of Abdomen Skin, External Approach[One axis away]— CMS ICD-10-PCS tables
Change history
No changes recorded for this code. This ledger tracks additions, deletions and description changes from FY2026 (April) onward. Note changes are not tracked.
Read from: CMS ICD-10-PCS code tables, index and definitions — FY2026 (April); CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43; AHRQ HCUP Clinical Classifications Software Refined for ICD-10-PCS Procedures (hcup-us.ahrq.gov/toolssoftware/ccsr/PRCCSR_v2026-1.zip) — v2026.1. All data sources · How to read the labels