0HR1XJ4
Replacement of Face Skin with Synthetic Substitute, Partial Thickness, External Approach
Replace Face Skin w Synth Sub, Part Thick, Extern
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 OperationR | Replacement 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 Part1 | Skin, Face |
| 5 | ApproachX | External |
| 6 | DeviceJ | Synthetic Substitute |
| 7 | Qualifier4 | Partial Thickness |
Potential MS-DRG Relationships (FY2026)
The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 26 MS-DRGs:
- MDC 01 — Peripheral, Cranial Nerve and Other Nervous System Procedures: DRG 040, DRG 041, DRG 042
- MDC 03 — Other Ear, Nose, Mouth and Throat O.R. Procedures: DRG 143, DRG 144, DRG 145
- MDC 08 — Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders: DRG 463, DRG 464, DRG 465
- MDC 09 — Skin Graft: DRG 573, DRG 574, DRG 575, DRG 576, DRG 577, DRG 578
- MDC 10 — Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders: DRG 622, DRG 623, DRG 624
- MDC 21 — Skin Grafts for Injuries: DRG 904, DRG 905
- MDC 22 — Extensive Burns or Full Thickness Burns with MV >96 Hours: DRG 927
- MDC 22 — Full Thickness Burn: DRG 928, DRG 929
- MDC 24 — Other O.R. Procedures for Multiple Significant Trauma: DRG 957, DRG 958, DRG 959
From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.
Contextual Map
Every relationship of 0HR1XJ4 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.
PCS table
- 0HR[PCS table]
- [object Object] — Section: [object Object] [Section]: “[object Object]”
- [object Object] — Body System: [object Object] [Body System]: “[object Object]”
- [object Object] — Operation: [object Object] [Operation]: “[object Object]”
MS-DRG participation (26)
- DRG 040 — PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC [MS-DRG]: “PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC — Peripheral, Cranial Nerve and Other Nervous System Procedures (MDC 01)”
- DRG 041 — PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR [MS-DRG]: “PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR — Peripheral, Cranial Nerve and Other Nervous System Procedures (MDC 01)”
- DRG 042 — PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC [MS-DRG]: “PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC — Peripheral, Cranial Nerve and Other Nervous System Procedures (MDC 01)”
- DRG 143 — OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC [MS-DRG]: “OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC — Other Ear, Nose, Mouth and Throat O.R. Procedures (MDC 03)”
- DRG 144 — OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC [MS-DRG]: “OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC — Other Ear, Nose, Mouth and Throat O.R. Procedures (MDC 03)”
- DRG 145 — OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC [MS-DRG]: “OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC — Other Ear, Nose, Mouth and Throat O.R. Procedures (MDC 03)”
- DRG 463 — WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC [MS-DRG]: “WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC — Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders (MDC 08)”
- DRG 464 — WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC [MS-DRG]: “WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC — Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders (MDC 08)”
- and 18 more
MDC crossing · diagnoses (29421)
- MDC 01 — Diseases and Disorders of the Nervous System [MDC crossing]: “Diseases and Disorders of the Nervous System — 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.”
- MDC 03 — Diseases and Disorders of the Ear, Nose, Mouth and Throat [MDC crossing]: “Diseases and Disorders of the Ear, Nose, Mouth and Throat — 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.”
- A02.21 — Salmonella meningitis [Same-MDC diagnosis]: “Salmonella meningitis — grouped in MDC 01, the diagnosis side of this code's crossing.” · check together
- A06.6 — Amebic brain abscess [Same-MDC diagnosis]: “Amebic brain abscess — grouped in MDC 01, the diagnosis side of this code's crossing.” · check together
- A17.0 — Tuberculous meningitis [Same-MDC diagnosis]: “Tuberculous meningitis — grouped in MDC 01, the diagnosis side of this code's crossing.” · check together
- A17.1 — Meningeal tuberculoma [Same-MDC diagnosis]: “Meningeal tuberculoma — grouped in MDC 01, the diagnosis side of this code's crossing.” · check together
- A17.81 — Tuberculoma of brain and spinal cord [Same-MDC diagnosis]: “Tuberculoma of brain and spinal cord — grouped in MDC 01, the diagnosis side of this code's crossing.” · check together
- and 29416 more
Nearest codes
- 0HR0XJ4 — Replacement of Scalp Skin with Synthetic Substitute, Partial Thickness, External Approach [One axis away]
- 0HR1X74 — Replacement of Face Skin with Autologous Tissue Substitute, Partial Thickness, External Approach [One axis away]
- 0HR1XJ3 — Replacement of Face Skin with Synthetic Substitute, Full Thickness, External Approach [One axis away]
- 0HR1XJZ — Replacement of Face Skin with Synthetic Substitute, External Approach [One axis away]
- 0HR1XK4 — Replacement of Face Skin with Nonautologous Tissue Substitute, Partial Thickness, External Approach [One axis away]
- 0HR2XJ4 — Replacement of Right Ear Skin with Synthetic Substitute, Partial Thickness, External Approach [One axis away]
- 0HR3XJ4 — Replacement of Left Ear Skin with Synthetic Substitute, Partial Thickness, External Approach [One axis away]
- 0HR4XJ4 — Replacement of Neck Skin with Synthetic Substitute, Partial Thickness, External Approach [One axis away]
Change history
No changes recorded for this code — unchanged since the FY2026 (April) baseline of the change ledger.